Active NPI
The Regional Cancer Center
- Medical Oncology Physician
- Erie, PA
National Provider Identifier
1336147990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- Legal business name
- THE REGIONAL CANCER CENTER
- Practice address
- 2500 W 12TH St
Erie, PA 16505 - Phone
- (814) 836-2651
- Fax
- (814) 838-0443
- NPI assigned
- Jul 8, 2005
- 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
- Mr. John Girard
- Title
- Director of Operations
- Phone
- (814) 836-2604
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | |||
| Medical Oncology Physician | 207RX0202X | PA | Primary | |
| Radiation Oncology Physician | 2085R0001X | |||
| Radiation Oncology Physician | 2085R0001X | PA | ||
| Clinic Pharmacy | 3336C0002X | BR1627768 | PA |
Addresses
Primary practice location
2500 W 12TH St
Erie, PA 16505
Mailing address
2500 W 12TH St
Erie, PA 16505
Phone (814) 836-2651
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0017638630005 | Medicaid | PA | |
| 3956945 | Other | PA | NCPDP |
| 105863 | Other | PA | UPMC |
| 127683 | Other | MED PLUSH | |
| 991590 | Other | PA | B CROSS |
National Provider Directory
National Provider DirectoryLocations
1116 Park Ave
Meadville, PA 16335
Phone (814) 337-5182
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Erie, PA
- NPI 1659567006
-
- Family Medicine Physician
- Erie, PA
- NPI 1790760601
-
- Radiation Oncology Physician
- Hyannis, MA
- NPI 1427042266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1336147990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 W 12TH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "16505",
"telephone_number": "814-836-2651",
"fax_number": "814-838-0443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 W 12TH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "16505",
"telephone_number": "814-836-2651",
"fax_number": "814-838-0443"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE REGIONAL CANCER CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-08",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "GIRARD",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "814-836-2604",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Medical Oncology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Medical Oncology",
"state": "PA",
"license": null,
"primary": true
},
{
"code": "2085R0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Radiation Oncology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Radiation Oncology",
"state": "PA",
"license": null,
"primary": false
},
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": "PA",
"license": "BR1627768",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0017638630005",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "3956945",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC",
"identifier": "105863",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MED PLUSH",
"identifier": "127683",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "B CROSS",
"identifier": "991590",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
- The Center for Breast Health
- The Center for Breast Health, P.C.
- The Family Institute, Inc.
- The Lutheran Home for the Aged D/B/a the Village at Luther Square
- The Pennsylvania State University
- The Regional Cancer Center
- The Regional Cancer Center
- The Sarah a. Reed Retirement Center
- The Sight Center of Northwest Pennsylvania
- The Sight Center of Nwpa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.