Active NPI
Cancer Care Group, P.C.
- Radiation Oncology Physician
- Seymour, IN
National Provider Identifier
1164542577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- Legal business name
- CANCER CARE GROUP, P.C.
- Practice address
- 411 W Tipton St
Seymour, IN 47274-2363 - Phone
- (812) 522-0480
- Fax
- (812) 522-0195
- NPI assigned
- Mar 30, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Thomas C. Dugan, M.D.
- Title
- President
- Phone
- (317) 715-1800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | Primary |
Addresses
Primary practice location
411 W Tipton St
Seymour, IN 47274-2363
Mailing address
PO Box 78000
Dept 78725
Detroit, MI 48278-0725
Phone (317) 715-1800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200259350 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031121000316 | IN | Part B Supplier - Clinic/Group Practice | 1850295858 |
Receives reassigned benefits from 23 practitioners 31 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Indianapolis, IN; Kokomo, IN; Lafayette, IN; Lebanon, IN; Logansport, IN; Mooresville, IN; Noblesville, IN; Peru, IN… |
Other NPIs on the same Medicare enrollment 31
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Radiation Oncology Physician
- Indianapolis, IN
- NPI 1316116700
O20031121000316
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1407801600000",
"number": "1164542577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 78000",
"address_2": "DEPT 78725",
"city": "DETROIT",
"state": "MI",
"postal_code": "482780725",
"telephone_number": "317-715-1800",
"fax_number": "317-715-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 W TIPTON ST",
"city": "SEYMOUR",
"state": "IN",
"postal_code": "472742363",
"telephone_number": "812-522-0480",
"fax_number": "812-522-0195"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CANCER CARE GROUP, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-30",
"last_updated": "2014-08-12",
"status": "A",
"authorized_official_last_name": "DUGAN",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "317-715-1800",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Radiation Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200259350",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Seymour, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.