Centre County Cancer Center

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

Legal business name

CENTRE COUNTY CANCER CENTER

Practice address

235 Wellness Way
State College, PA 16803-6709

Phone

(814) 272-4400

Fax

(814) 231-7295

NPI assigned

Jan 22, 2013

Organization subpart

No

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

Authorized official

Name

Peter D. Tate

Title

Operations Manager

Phone

(814) 272-4400

Specialties & licenses 2

Addresses

Other names 1

• Cancer Care Partnership Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 9

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

• Aderonke Ajala, MD

  • Hematology & Oncology Physician
  • State College, PA
  • NPI 1689015042
  Medicare reassignment NPD
• Patricia Ann Fogelman, DNP, CRNP

  • Nurse Practitioner
  • State College, PA
  • NPI 1841294808
  Medicare reassignment NPD
• Abhishek Seth, MD

  • Hematology & Oncology Physician
  • State College, PA
  • NPI 1578903795
  Medicare reassignment NPD
• Lynn S Whittaker, CRNP

  • Family Nurse Practitioner
  • State College, PA
  • NPI 1114367299
  Medicare reassignment NPD
• Daniel Koh, MD

  • Hematology & Oncology Physician
  • Quincy, IL
  • NPI 1306946033

  PA

  Medicare reassignment NPD
• Lauren C Delgrosso, PA-C

  • Physician Assistant
  • State College, PA
  • NPI 1851776967
  Medicare reassignment
• Eric S. Kroner, PA-C

  • Physician Assistant
  • State College, PA
  • NPI 1730149998
  Medicare reassignment
• Amy Rothrock, PA-C

  • Physician Assistant
  • State College, PA
  • NPI 1760993836
  Medicare reassignment
• Philip Andrew Lowry, MD

  • Hematology & Oncology Physician
  • Bryan, OH
  • NPI 1518949080
  NPD

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

{
    "created_epoch": "1358812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744243200000",
    "number": "1477891711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 WELLNESS WAY",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168036797",
            "telephone_number": "814-272-4400",
            "fax_number": "814-231-7295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 WELLNESS WAY",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168036709",
            "telephone_number": "814-272-4400",
            "fax_number": "814-231-7295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRE COUNTY CANCER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-22",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-04",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "814-272-4400"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cancer Care Partnership",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Central Penn Vision Associates, PC
• Central Pennsylvania Endodontics, LLC
• Central Pennsylvania Homecare, LLC
• Centre Counseling and Wellness, LLC
• Centre County Anesthesia, P.C.
• Centre County MH Id Ei Da
• Centre County MH Id Ei Da
• Centre County MH-Id-Ei/D&a
• Centre County MH-Id-Ei/D&a
• Centre County Youth Service Bureau

• Hematology & Oncology Physician in State College, PA
• Providers in State College, PA by specialty
• Hematology & Oncology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.