Indiana Community Cancer Care, Inc.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

50002564A Issued in IN

Legal business name

INDIANA COMMUNITY CANCER CARE, INC.

Practice address

115 W 19TH St
Indianapolis, IN 46202-1310

Phone

(317) 924-4022

Fax

(317) 924-4233

NPI assigned

Feb 7, 2006

Organization subpart

No

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

Authorized official

Name

William M Dugan, M.D.NPI 1568434918

Title

President

Phone

(317) 924-4022

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Miller Dugan Jr., MD

  • Hematology & Oncology Physician
  • Indianapolis, IN
  • NPI 1568434918
  NPD (past) Authorized official
• Karen A Iseminger, PHD, ANP

  • Nurse Practitioner
  • Carmel, IN
  • NPI 1184696635
  NPD
• Kristi K Orbaugh, NP

  • Nurse Practitioner
  • Indianapolis, IN
  • NPI 1134191679
  NPD
• Rajesh V Shah, M.D.

  • Hematology & Oncology Physician
  • Bloomington, IN
  • NPI 1487652152
  NPD
• Sumeet Bhatia, MD

  • Medical Oncology Physician
  • Indianapolis, IN
  • NPI 1922079474

  Hematology & Oncology

  NPD (past)
• Kathleen Bridget Donaghy, PHD

  • Counseling Psychologist
  • Scottsdale, AZ
  • NPI 1083630412
  NPD (past)

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284681600000",
    "number": "1285606749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1326",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462061326",
            "telephone_number": "317-833-1208",
            "fax_number": "317-833-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W 19TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021310",
            "telephone_number": "317-924-4022",
            "fax_number": "317-924-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA COMMUNITY CANCER CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-07",
        "last_updated": "2010-09-17",
        "status": "A",
        "authorized_official_last_name": "DUGAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-924-4022",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IN",
            "license": "50002564A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100311840A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Indiana Clinic - Sleep Medicine
• Indiana Clinic - Urology, LLC
• Indiana Clinic Critical Care LLC
• Indiana Clinic-Neurology, LLC
• Indiana Clinical Laboratories, LLC
• Indiana Community Home Healthcare Service L.L.C.
• Indiana Connections Academy, Inc
• Indiana Counseling and Resilience Center, LLC
• Indiana Craniofacial Center PC
• Indiana Denture Specialist, Inc

• Hematology & Oncology Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Hematology & Oncology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; 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.