Innovative Cancer Care, PLLC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

39830 Issued in CO

Legal business name

INNOVATIVE CANCER CARE, PLLC

Practice address

5275 DTC Pkwy
Greenwood Village, CO 80111-2772

Phone

(303) 570-2760

Fax

(303) 770-0792

NPI assigned

Aug 8, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Barry D Blyton, MD

Title

President

Phone

(303) 570-2760

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1470614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470614400000",
    "number": "1245784248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4704 HARLAN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802127415",
            "telephone_number": "720-382-1008",
            "fax_number": "720-382-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5275 DTC PKWY",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112772",
            "telephone_number": "303-570-2760",
            "fax_number": "303-770-0792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE CANCER CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-08",
        "last_updated": "2016-08-08",
        "status": "A",
        "authorized_official_last_name": "BLYTON",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-570-2760",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "CO",
            "license": "39830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "86231774",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Radiation Oncology Physician in Greenwood Village, CO
• Providers in Greenwood Village, CO by specialty
• Radiation Oncology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; 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.