Las Cruces Cancer Care LLC

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

License

2001-330 Issued in NM

Legal business name

LAS CRUCES CANCER CARE LLC

Practice address

1180 Mall Dr
Suite B
Las Cruces, NM 88011-8101

Phone

(575) 521-4601

NPI assigned

Oct 1, 2012

Last updated

Jan 10, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Constance D Wash, MDNPI 1932148384

Title

President

Phone

(575) 521-4601

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

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.

• Constance Daphne Wash, MD

  • Medical Oncology Physician
  • Las Cruces, NM
  • NPI 1932148384
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484006400000",
    "number": "1477804409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 MALL DR",
            "address_2": "SUITE B",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118101",
            "telephone_number": "575-521-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 MALL DR",
            "address_2": "SUITE B",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118101",
            "telephone_number": "575-521-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS CRUCES CANCER CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-01",
        "last_updated": "2017-01-10",
        "status": "A",
        "authorized_official_last_name": "WASH",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "575-521-4601",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NM",
            "license": "2001-330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josh W Larson, DC
• Warren Larson, RPH
• Sarah Adjoa Darkowaa Lartey
• Las Cruces Apothecary
• Las Cruces Behavioral Medicine Associates, Inc.
• Las Cruces Cardiology, LLC
• Las Cruces Care Holdings LLC (Invigorate Post Acute of Las Cruces)
• Las Cruces Caregiving Company LLC (CareCo - The Caregiving Company)
• Las Cruces Comprehensive Rehabilitation Inc. (Las Cruces Home Care)
• Las Cruces Dental Associates, PC

• Medical Oncology Physician in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Medical Oncology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; 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.

Verify at the official NPI Registry.