Organization Active NPI

CCS Oncology, P.C.

  • Radiation Oncology Physician
  • Lockport, NY
National Provider Identifier
1639333552
Registry record updated Dec 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
CCS ONCOLOGY, P.C.
Practice address
810 Davison Rd
Lockport, NY 14094-5228
Phone
(716) 438-5486
NPI assigned
Jul 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2009

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

Authorized official

Name
Dr. Won Sam Yi, MD
Title
President
Phone
(716) 438-5486

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X Primary

Addresses

Primary practice location

810 Davison Rd
Lockport, NY 14094-5228

Mailing address

810 Davison Rd
Lockport, NY 14094-5228
Phone (716) 438-5486

National Provider Directory

National Provider Directory

Locations

810 Davison Rd
Lockport, NY 14094
Phone (716) 438-5486

NPI Registry JSON

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259712000000",
    "number": "1639333552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 DAVISON RD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140945228",
            "telephone_number": "716-438-5486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 DAVISON RD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140945228",
            "telephone_number": "716-438-5486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCS ONCOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-10",
        "last_updated": "2009-12-02",
        "status": "A",
        "authorized_official_last_name": "YI",
        "authorized_official_first_name": "WON SAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-438-5486",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; 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.