Active NPI
Shruti Trehan, MD
- Hematology & Oncology Physician
- Canton, OH
National Provider Identifier
1376512046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 35074565T
- Practice address
- 2600 Sixth St SW
Canton, OH 44710-1702 - Phone
- (330) 438-6333
- Fax
- (330) 580-6660
- NPI assigned
- Mar 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 35074565T | OH | Primary |
Addresses
Primary practice location
2600 Sixth St SW
Canton, OH 44710-1702
Mailing address
6046 Whipple Ave NW
North Canton, OH 44720-7616
Phone (330) 438-6333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2069961 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35074565T | OH | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cancer Care of Iowa City LLC | Hematology & Oncology | Past | Accepting new patients |
Interoperability endpoints
- shruti.trehan@amghemonc.ikm.direct-ci.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hematology & Oncology Physician
- Iowa City, IA
- NPI 1205908563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329436800000",
"number": "1376512046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6046 WHIPPLE AVE NW",
"city": "NORTH CANTON",
"state": "OH",
"postal_code": "447207616",
"telephone_number": "330-438-6333",
"fax_number": "330-580-6660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 SIXTH ST SW",
"city": "CANTON",
"state": "OH",
"postal_code": "447101702",
"telephone_number": "330-438-6333",
"fax_number": "330-580-6660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREHAN",
"first_name": "SHRUTI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-15",
"last_updated": "2012-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "OH",
"license": "35074565T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2069961",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.