Organization Active NPI

Cancer Care Center, Inc.

  • Specialist
  • New Albany, IN
National Provider Identifier
1487683041
Registry record updated Nov 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
50003500A Issued in IN
Legal business name
CANCER CARE CENTER, INC.
Practice address
2210 Green Valley Rd Ste 1
Ste1
New Albany, IN 47150-4648
Phone
(812) 945-4000
NPI assigned
Jul 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2008

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

Authorized official

Name
Aftab Chaudhry, MDNPI 1912977281
Title
Owner/Officer
Phone
(812) 945-4000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 50003500A IN Primary

Addresses

Primary practice location

2210 Green Valley Rd Ste 1
Ste1
New Albany, IN 47150-4648

Mailing address

2210 Green Valley Rd
Ste 1
New Albany, IN 47150-4648

Other identifiers 2

IdentifierTypeStateIssuer
100116760MedicaidIN
65926412MedicaidKY

National Provider Directory

National Provider Directory

Locations

2210 Green Valley Rd
#1
New Albany, IN 47150
Phone (812) 845-4000

3991 Dutchmans Ln
Ste 313
Louisville, KY 40207
Phone (502) 897-0228

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225756800000",
    "number": "1487683041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 GREEN VALLEY RD",
            "address_2": "STE 1",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471504648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 GREEN VALLEY RD STE 1",
            "address_2": "STE1",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471504648",
            "telephone_number": "812-945-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCER CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2008-11-04",
        "status": "A",
        "authorized_official_last_name": "CHAUDHRY",
        "authorized_official_first_name": "AFTAB",
        "authorized_official_title_or_position": "OWNER/OFFICER",
        "authorized_official_telephone_number": "812-945-4000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IN",
            "license": "50003500A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100116760",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65926412",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; 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.