Cancer Treatment Center – Specialist in Wooster, OH

Key facts

NPI: 1164540183
Entity type: Organization (NPI type 2)
Primary specialty: Specialist 174400000X
License: 0406RT (OH)
Legal business name: CANCER TREATMENT CENTER
Practice address: 2376 Benden Dr
Wooster, OH 44691-2570
Phone: (330) 262-6060
Fax: (330) 262-5572
NPI assigned: Mar 27, 2007
Organization subpart: No

Authorized official

Name: Ms. Mary Alice Streeter, CPA, CMPE
Title: Administrator
Phone: (330) 262-6060

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

William Fitzgerald Demas, M.D., F.A.C.R. Radiation Oncology Physician · Akron, OH · NPI 1033100334

NPD (past)
Susan M Hong, MD Radiation Oncology Physician · Akron, OH · NPI 1114918422

NPD (past)
Kenneth C Lane, MD Therapeutic Radiology Physician · Cleveland, OH · NPI 1497857122

NPD (past)

National Provider Directory

Locations

2376 Benden Dr
Wooster, OH 44691
Phone (330) 262-6060

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Specialist Group: 193400000X SINGLE SPECIALTY GROUP	174400000X	0406RT	OH	Yes

Addresses

Primary practice location

2376 Benden Dr
Wooster, OH 44691-2570

Mailing address

2376 Benden Dr
Wooster, OH 44691-2570
Phone (330) 262-6060

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164540183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2376 BENDEN DR",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446912570",
            "telephone_number": "330-262-6060",
            "fax_number": "330-262-5572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2376 BENDEN DR",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446912570",
            "telephone_number": "330-262-6060",
            "fax_number": "330-262-5572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCER TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STREETER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ALICE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "330-262-6060",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPA, CMPE"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "0406RT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wooster, OH

All providers in Wooster, OH · Specialist in Ohio

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.