NPIMap

Organization Active NPI

Oncology Care LLC

  • Specialist
  • Philadelphia, PA
National Provider Identifier
1194739482
Registry record updated Nov 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD021901E Issued in PA
Legal business name
ONCOLOGY CARE LLC
Practice address
2 Franklin Town Blvd
Suite #100
Philadelphia, PA 19103-1238
Phone
(215) 599-1100
Fax
(215) 599-2485
NPI assigned
Jul 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2007

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

Authorized official

Name
Dr. Donna J Glover, M.D
Title
Proprietor
Phone
(215) 599-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD021901E PA Primary

Addresses

Primary practice location

2 Franklin Town Blvd
Suite #100
Philadelphia, PA 19103-1238

Mailing address

2 Franklin Town Blvd
Suite #100
Philadelphia, PA 19103-1238
Phone (215) 599-1100

Other identifiers 1

IdentifierTypeStateIssuer
793518MedicaidPA

National Provider Directory

National Provider Directory

Locations

2 Franklin Town Blvd
Ste 100
Philadelphia, PA 19103
Phone (215) 599-1100

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1194739482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 FRANKLIN TOWN BLVD",
            "address_2": "SUITE #100",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191031238",
            "telephone_number": "215-599-1100",
            "fax_number": "215-599-2485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 FRANKLIN TOWN BLVD",
            "address_2": "SUITE #100",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191031238",
            "telephone_number": "215-599-1100",
            "fax_number": "215-599-2485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONCOLOGY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "215-599-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD021901E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "793518",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; 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.