NPIMap

Organization Active NPI

Cancer Care Group PC

  • Radiation Oncology Physician
  • Greenfield, IN
National Provider Identifier
1639575491
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
50004183A Issued in IN
Legal business name
CANCER CARE GROUP PC
Practice address
801 N State St
Ste 50
Greenfield, IN 46140-1270
Phone
(317) 325-2273
Fax
(317) 325-2777
NPI assigned
Nov 6, 2014
Last updated
Nov 6, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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

Authorized official

Name
Stephen A Freeland
Title
Ceo
Phone
(317) 715-1800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X 50004183A IN
Radiation Oncology Physician 2085R0001X 50004183A IN Primary

Addresses

Primary practice location

801 N State St
Ste 50
Greenfield, IN 46140-1270

Mailing address

6100 W 96TH St
Ste 125
Indianapolis, IN 46278-6005
Phone (317) 715-1800

Other identifiers 1

IdentifierTypeStateIssuer
200259350MedicaidIN

National Provider Directory

National Provider Directory
Tax ID family
Cancer Care Group PC36 organizations share this tax ID, including this one

Other organizations with this tax ID 35

Organizations that report the same tax identification number in the National Provider Directory.

View all 35

Locations

801 N State St
Ste 50
Greenfield, IN 46140
Phone (317) 325-2273

NPI Registry JSON

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415232000000",
    "number": "1639575491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 W 96TH ST",
            "address_2": "STE 125",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462786005",
            "telephone_number": "317-715-1800",
            "fax_number": "317-715-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N STATE ST",
            "address_2": "STE 50",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461401270",
            "telephone_number": "317-325-2273",
            "fax_number": "317-325-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCER CARE GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-06",
        "last_updated": "2014-11-06",
        "status": "A",
        "authorized_official_last_name": "FREELAND",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-715-1800"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "IN",
            "license": "50004183A",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IN",
            "license": "50004183A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200259350",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.