NPIMap

Organization Active NPI

Cancer Outreach Associates, P.C.

  • Specialist
  • Abingdon, VA
National Provider Identifier
1528039062
Registry record updated Mar 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101054148 Issued in VA
Legal business name
CANCER OUTREACH ASSOCIATES, P.C.
Practice address
104 Abingdon PL
Abingdon, VA 24211-5197
Phone
(276) 676-1860
Fax
(276) 628-2917
NPI assigned
Feb 1, 2006
Last updated
Mar 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2010

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

Authorized official

Name
Dr. Forrest Swan Jr., M.D.NPI 1841284429
Title
President
Phone
(276) 676-1860

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: 193200000X MULTI-SPECIALTY GROUP 174400000X 0101054148 VA Primary

Addresses

Primary practice location

104 Abingdon PL
Abingdon, VA 24211-5197

Mailing address

104 Abingdon PL
Abingdon, VA 24211-5197
Phone (276) 676-1860

National Provider Directory

National Provider Directory

Locations

107 W Medical Park Dr
Ste 102
Lexington, NC 27292
Phone (336) 238-1679

1 Professional Park Dr
Ste 18
Johnson City, TN 37604
Phone (276) 676-1860

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268179200000",
    "number": "1528039062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 ABINGDON PL",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242115197",
            "telephone_number": "276-676-1860",
            "fax_number": "276-628-2917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 ABINGDON PL",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242115197",
            "telephone_number": "276-676-1860",
            "fax_number": "276-628-2917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCER OUTREACH ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2010-03-10",
        "status": "A",
        "authorized_official_last_name": "SWAN",
        "authorized_official_first_name": "FORREST",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "276-676-1860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101054148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; 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.