Organization Active NPI

Cancer Treatment Center

  • Specialist
  • Wooster, OH
National Provider Identifier
1164540183
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0406RT Issued in 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
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 0406RT OH Primary

Addresses

Primary practice location

2376 Benden Dr
Wooster, OH 44691-2570

Mailing address

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

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "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

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.