NPIMap

Cancer Outreach Associates, P.C.

Organization Active NPI Specialist · Abingdon, VA

NPI 1528039062 · NPPES record last updated Mar 10, 2010

Key facts

NPI
1528039062
Entity type
Organization (NPI type 2)
Primary specialty
Specialist 174400000X
License
0101054148 (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
Organization subpart
No

Authorized official

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

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

Practitioners 21

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

National Provider Directory

Locations

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

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

1114 Snider St
Marion, VA 24354
Phone (276) 783-1444

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist
Group: 193200000X MULTI-SPECIALTY GROUP		 174400000X 0101054148 VA Yes

Addresses

Primary practice location

104 Abingdon PL
Abingdon, VA 24211-5197

Mailing address

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 10, 2010.

{
    "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

All providers in Abingdon, VA · Specialist in Virginia

Sources for this page

Verify at the official NPI Registry.