NPIMap

Organization Active NPI

Cancer Care Resource, PLLC

  • Radiation Oncology Physician
  • Corinth, TX
National Provider Identifier
1467565663
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
CANCER CARE RESOURCE, PLLC
Practice address
4851 S Interstate 35 E
Suite 101
Corinth, TX 76210-2348
Phone
(940) 270-5000
Fax
(940) 269-5001
NPI assigned
Aug 15, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Roger R Good, MDNPI 1881652915
Title
Manager
Phone
(940) 270-5000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0001X Primary

Addresses

Primary practice location

4851 S Interstate 35 E
Suite 101
Corinth, TX 76210-2348

Mailing address

4851 S Interstate 35 E
Suite 101
Corinth, TX 76210-2348
Phone (940) 270-5000

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467565663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4851 S INTERSTATE 35 E",
            "address_2": "SUITE 101",
            "city": "CORINTH",
            "state": "TX",
            "postal_code": "762102348",
            "telephone_number": "940-270-5000",
            "fax_number": "940-269-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4851 S INTERSTATE 35 E",
            "address_2": "SUITE 101",
            "city": "CORINTH",
            "state": "TX",
            "postal_code": "762102348",
            "telephone_number": "940-270-5000",
            "fax_number": "940-269-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCER CARE RESOURCE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOOD",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "940-270-5000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corinth, TX

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.