Progressive Cancer Care LLC

Primary specialty

Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X

Legal business name

PROGRESSIVE CANCER CARE LLC

Practice address

831 N Theatre Rd
Marion, IN 46952-1701

Phone

(765) 662-4293

NPI assigned

Aug 25, 2006

Last updated

Sep 18, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephen Mughmaw

Title

Executive Director

Phone

(765) 662-4293

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Indiana University Health Ball Memorial Hospital Inc

  dba IU Health Southway Pharmacy

  • Community/Retail Pharmacy
  • Muncie, IN
  • NPI 1811091861

  Member Of

  NPD member
• Marion General Hospital

  dba Fairmount Medical Associates

  • Internal Medicine Physician
  • Fairmount, IN
  • NPI 1619020575

  Member Of

  NPD member

Practitioners 6

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.

• Jason Darnell Hinton, MD PHARMD

  • Radiation Oncology Physician
  • Muncie, IN
  • NPI 1609138395
  Medicare reassignment Care Compare group NPD
• Yunjie Xie Lin, MD

  • Radiation Oncology Physician
  • Muncie, IN
  • NPI 1053405209
  Medicare reassignment Care Compare group NPD
• Anthony Stephen Tilmans, MD

  • Radiation Oncology Physician
  • Muncie, IN
  • NPI 1275635260
  Medicare reassignment Care Compare group NPD
• Samantha Lynn Freije, MD

  • Radiation Oncology Physician
  • Muncie, IN
  • NPI 1376003954
  Medicare reassignment NPD
• Rathipriya Mahendran, MD

  • Medical Oncology Physician
  • Marion, IN
  • NPI 1982685533
  NPD (past)
• Fred H Francis II, MD

  • Radiation Oncology Physician
  • Las Vegas, NV
  • NPI 1639278542
  NPD (past)

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1609984301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1083",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462061083",
            "telephone_number": "317-802-6318",
            "fax_number": "317-870-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 N THEATRE RD",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469521701",
            "telephone_number": "765-662-4293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE CANCER CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "MUGHMAW",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "765-662-4293"
    },
    "taxonomies": [
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200507020",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Derek Price, OD
• Private Eyes Vision Center Inc
• Professional Arts Pharmacy
• Professional Hearing Care Inc
• Sheri Proffitt, LCSW
• Progressive Dental Center of Marion PC (Progressive Dental Center)
• Progressive Medical Imaging
• Hannah Purcell, OT
• Christopher L Purvis
• Tamara K Pylawka, M.D.

• Radiation Oncology Clinic/Center in Marion, IN
• Providers in Marion, IN by specialty
• Radiation Oncology Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; 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.