Organization Active NPI

Oncology Associates Inc PSC

Doing business as Oncology Associates of West KY

  • Hematology & Oncology Physician
  • Paducah, KY
National Provider Identifier
1508812140
Registry record updated Dec 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
ONCOLOGY ASSOCIATES INC PSC
Doing business as
Oncology Associates of West KY
Practice address
2603 Kentucky Ave
Suite 403
Paducah, KY 42003-3814
Phone
(270) 444-3930
Fax
(270) 442-5284
NPI assigned
May 25, 2006
Last updated
Dec 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2012

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

Authorized official

Name
Reis Driver
Title
Practice MGR
Phone
(270) 444-3930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X NU Primary

Addresses

Primary practice location

2603 Kentucky Ave
Suite 403
Paducah, KY 42003-3814

Mailing address

PO Box 8449
Paducah, KY 42002-8449
Phone (270) 444-3930

Other identifiers 2

IdentifierTypeStateIssuer
CI1416OtherKYRAILROAD MEDICARE
65930497MedicaidKY

Other names 1

  • Oncology Associates of West KY Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354579200000",
    "number": "1508812140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8449",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420028449",
            "telephone_number": "270-444-3930",
            "fax_number": "270-442-5284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 KENTUCKY AVE",
            "address_2": "SUITE 403",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420033814",
            "telephone_number": "270-444-3930",
            "fax_number": "270-442-5284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONCOLOGY ASSOCIATES INC PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2012-12-04",
        "status": "A",
        "authorized_official_last_name": "DRIVER",
        "authorized_official_first_name": "REIS",
        "authorized_official_title_or_position": "PRACTICE MGR",
        "authorized_official_telephone_number": "270-444-3930"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CI1416",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65930497",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oncology Associates of West KY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paducah, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; 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.