Active NPI
PMHC Cancer Center
- Radiation Oncology Physician
- Novi, MI
National Provider Identifier
1386678977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- Legal business name
- PMHC CANCER CENTER
- Practice address
- 47601 Grand River
Novi, MI 48374 - Phone
- (248) 465-4300
- NPI assigned
- Jul 10, 2006
- Last updated
- Feb 19, 2026
- 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
- Eric Strucko
- Title
- Cfo
- Phone
- (734) 936-4000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | NU | Primary |
Addresses
Primary practice location
47601 Grand River
Novi, MI 48374
Mailing address
3621 S State St
Provider Enrollment
Ann Arbor, MI 48108
Phone (734) 647-5299
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 320F375710 | Other | MI | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040417000282 | MI | Part B Supplier - Clinic/Group Practice | 9133114374 |
Receives reassigned benefits from 7 practitioners 1 other NPI on this enrollment Practice locations: Novi, MI; Southfield, MI |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
47601 Grand River Ave
Novi, MI 48374
Phone (248) 465-4100
Practitioners & affiliated clinicians
Practitioners 8
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.
-
- Radiation Oncology Physician
- Brighton, MI
- NPI 1396861936
-
- Physician Assistant
- Southfield, MI
- NPI 1821317249
-
- Radiation Oncology Physician
- Southfield, MI
- NPI 1083706485
-
- Physician Assistant
- Novi, MI
- NPI 1073624656
-
- Physician Assistant
- Novi, MI
- NPI 1396927281
-
- Radiation Oncology Physician
- Novi, MI
- NPI 1871685271
-
- Radiation Oncology Physician
- Ann Arbor, MI
- NPI 1780983171
-
- Internal Medicine Physician
- Ann Arbor, MI
- NPI 1871559476
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771459200000",
"number": "1386678977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3621 S STATE ST",
"address_2": "PROVIDER ENROLLMENT",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "48108",
"telephone_number": "734-647-5299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47601 GRAND RIVER",
"city": "NOVI",
"state": "MI",
"postal_code": "48374",
"telephone_number": "248-465-4300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PMHC CANCER CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-10",
"last_updated": "2026-02-19",
"certification_date": "2026-02-19",
"status": "A",
"authorized_official_last_name": "STRUCKO",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "734-936-4000"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "320F375710",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.