Springfield Regional Cancer Center, LLC

Primary specialty

Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X

Legal business name

SPRINGFIELD REGIONAL CANCER CENTER, LLC

Practice address

148 W North St
Springfield, OH 45504-2547

Phone

(937) 323-5001

Fax

(937) 323-5413

NPI assigned

Aug 30, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Rene Suntay

Title

VP, Chief Financial Officer

Phone

(937) 323-5001

Specialties & licenses 2

Addresses

Other identifiers 4

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Community Mercy Health Partners

  • Oxygen Equipment & Supplies (DME)
  • Springfield, OH
  • NPI 1407813140

  Member Of

  NPD member

Locations

Practitioners 1

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

• Sandra J Victor, M.D.

  • Radiation Oncology Physician
  • Springfield, OH
  • NPI 1215939525
  NPD (past)

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536624000000",
    "number": "1477546984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 W NORTH ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455042547",
            "telephone_number": "937-323-5001",
            "fax_number": "937-323-5413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 W NORTH ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455042547",
            "telephone_number": "937-323-5001",
            "fax_number": "937-323-5413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD REGIONAL CANCER CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-30",
        "last_updated": "2018-09-11",
        "status": "A",
        "authorized_official_last_name": "SUNTAY",
        "authorized_official_first_name": "RENE",
        "authorized_official_title_or_position": "VP, CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "937-323-5001",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2471R0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Radiation Therapy",
            "state": "OH",
            "license": "1097RT",
            "primary": false
        },
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2516361",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC PROVIDER #",
            "identifier": "2468517",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS PROVIDER #",
            "identifier": "000000339942",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER #",
            "identifier": "7378615",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Springfield Preparatory & Fitness Academy
• Springfield Primary Healthcare Services, LLC
• Springfield Psychiatric Associates Inc
• Springfield Pulmonary Inc
• Springfield Regional Anesthesia, Inc
• Springfield Regional Outpatient Surgery Center LLC
• Springfield SNF Opco LLC
• Springfield SNF Opco LLC
• Springfield SNF, Inc.
• Springfield Spine & Sport, Inc.

• Radiation Oncology Clinic/Center in Springfield, OH
• Providers in Springfield, OH by specialty
• Radiation Oncology Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; 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.