Vantage Cancer Care - Indiana, LLC

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

Legal business name

VANTAGE CANCER CARE - INDIANA, LLC

Practice address

8902 N Meridian St
Suite 104
Indianapolis, IN 46260-5382

Phone

(317) 853-4500

NPI assigned

Oct 6, 2014

Organization subpart

Yes

Parent organization

VANTAGE CANCER CARE NETWORKS, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Steven Udicious, ESQUIRE

Title

Vice President, General Counsel

Phone

(610) 519-0550

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Iacuone, M.D.

  • Pediatric Hematology & Oncology Physician
  • Lubbock, TX
  • NPI 1578554184
  NPD (past)

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413331200000",
    "number": "1356744239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 ROSECRANS AVE",
            "address_2": "SUITE 400",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902663763",
            "telephone_number": "310-335-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8902 N MERIDIAN ST",
            "address_2": "SUITE 104",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605382",
            "telephone_number": "317-853-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANTAGE CANCER CARE - INDIANA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VANTAGE CANCER CARE NETWORKS, LLC",
        "enumeration_date": "2014-10-06",
        "last_updated": "2014-10-15",
        "status": "A",
        "authorized_official_last_name": "UDICIOUS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "VICE PRESIDENT, GENERAL COUNSEL",
        "authorized_official_telephone_number": "610-519-0550",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ESQUIRE"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Vanosdol, M.D.
• David E Vanreken, MD
• Kimberly Jean Vanryzin, M.D.
• Jenna Vanstone
• Mitchell James Vansumeren, PSYD
• Vantage Cancer Care Network of Indiana, LLC
• Vantage Point Children & Family Services, LLC
• Elizabeth Butler Vantassel, PH.D.
• James W Vantassel, MD
• Rachel Vantries, PA-C

• Medical Oncology Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Medical Oncology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; 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.