Central Care, PA

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

Legal business name

CENTRAL CARE, PA

Doing business as

Central Care Cancer Center

Practice address

1004 Carondelet Dr Ste 410
Kansas City, MO 64114-4801

Phone

(785) 823-0633

Fax

(833) 734-1556

NPI assigned

Oct 23, 2020

Organization subpart

No

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

Authorized official

Name

Stacy Cloyd

Title

Provider Enrollment Specialist

Phone

(785) 823-0633

Specialties & licenses 2

Addresses

Other names 1

• Central Care Cancer Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Central Care, PA

  • Specialist
  • Salina, KS
  • NPI 1578532081

  O20050720000009

  Same enrollment

Locations

Practitioners 2

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

• Leonid Shunyakov, MD

  • Medical Oncology Physician
  • Bolivar, MO
  • NPI 1396709895
  NPD
• Claudia Perez-Tamayo, MD

  • Therapeutic Radiology Physician
  • Emporia, KS
  • NPI 1366403537

  Radiation Oncology

  NPD

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

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603411200000",
    "number": "1639778228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2337 E CRAWFORD ST",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674013713",
            "telephone_number": "785-823-0633",
            "fax_number": "785-823-0658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 CARONDELET DR STE 410",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144801",
            "telephone_number": "785-823-0633",
            "fax_number": "833-734-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-23",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A",
        "authorized_official_last_name": "CLOYD",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT SPECIALIST",
        "authorized_official_telephone_number": "785-823-0633"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Care Cancer Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Centerwell Pharmacy, Inc.
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• Centerwell Senior Primary Care (Mo) PC (CenterWell Senior Primary Care - Seven Oaks)
• Centerwell Senior Primary Care (Mo) PC (CenterWell Senior Primary Care- Midtown)
• Centerwell Senior Primary Care Mo PC (CenterWell Senior Primary Care-Bannister Rd)
• Central Division Chiropractic, LLC
• Central States Medical Distributors LLC
• Cep America, LLC (Vituity)
• Colleen Renee Cernich, PHYSICIAN ASSISTANT
• Joseph Theodore Cernich, M.D.

• Medical Oncology Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Medical Oncology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; 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.