Active NPI
Conklin Regional Cancer Center PC
- Hematology & Oncology Physician
- Aberdeen, SD
National Provider Identifier
1194952150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- Legal business name
- CONKLIN REGIONAL CANCER CENTER PC
- Practice address
- 620 3Rd Ave SE
Aberdeen, SD 57401-4554 - Phone
- (605) 622-5613
- Fax
- (605) 622-5056
- NPI assigned
- Jun 17, 2009
- 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
- Scott Lunzman
- Title
- Chief Executive Officer
- Phone
- (605) 622-5613
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | Primary |
Addresses
Primary practice location
620 3Rd Ave SE
Aberdeen, SD 57401-4554
Mailing address
620 3Rd Ave SE
Aberdeen, SD 57401-4554
Phone (605) 622-5613
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245196800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1245196800000",
"number": "1194952150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 3RD AVE SE",
"city": "ABERDEEN",
"state": "SD",
"postal_code": "574014554",
"telephone_number": "605-622-5613",
"fax_number": "605-622-5056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 3RD AVE SE",
"city": "ABERDEEN",
"state": "SD",
"postal_code": "574014554",
"telephone_number": "605-622-5613",
"fax_number": "605-622-5056"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONKLIN REGIONAL CANCER CENTER PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-17",
"last_updated": "2009-06-17",
"status": "A",
"authorized_official_last_name": "LUNZMAN",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "605-622-5613"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aberdeen, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.