Organization Active NPI

Lafayette Cancer Care, PC

  • Hematology & Oncology Physician
  • Lafayette, IN
National Provider Identifier
1295808996
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
01045452A Issued in IN
Legal business name
LAFAYETTE CANCER CARE, PC
Practice address
1345 Unity PL
Suite 135
Lafayette, IN 47905-5760
Phone
(765) 446-5050
Fax
(765) 446-5119
NPI assigned
Nov 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Nancy A Dimartino, MD
Title
President
Phone
(764) 446-5050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X 01045452A IN Primary

Addresses

Primary practice location

1345 Unity PL
Suite 135
Lafayette, IN 47905-5760

Mailing address

1345 Unity PL
Suite 135
Lafayette, IN 47905-5760
Phone (765) 446-5050

National Provider Directory

National Provider Directory
Tax ID family
Lafayette Cancer Care PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295808996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 UNITY PL",
            "address_2": "SUITE 135",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479055760",
            "telephone_number": "765-446-5050",
            "fax_number": "765-446-5119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 UNITY PL",
            "address_2": "SUITE 135",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479055760",
            "telephone_number": "765-446-5050",
            "fax_number": "765-446-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFAYETTE CANCER CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIMARTINO",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "764-446-5050",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IN",
            "license": "01045452A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.