Organization Active NPI

Conklin Regional Cancer Center PC

  • Hematology & Oncology Physician
  • Aberdeen, SD
National Provider Identifier
1194952150
Registry record updated Jun 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
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

Updated by the provider on Jun 17, 2009

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)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.