Organization Active NPI

Cancer Care for Women PC

  • Gynecologic Oncology Physician
  • Lancaster, PA
National Provider Identifier
1649298498
Registry record updated Mar 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
Legal business name
CANCER CARE FOR WOMEN PC
Practice address
694 Good Drive
Suite 205
Lancaster, PA 17604
Phone
(717) 544-3190
Fax
(717) 544-3189
NPI assigned
Jul 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2016

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

Authorized official

Name
Dr. Jacqueline Evans, DO
Title
President
Phone
(717) 544-3190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VX0201X Primary

Addresses

Primary practice location

694 Good Drive
Suite 205
Lancaster, PA 17604

Mailing address

694 Good Drive
Suite 205
Lancaster, PA 17604
Phone (717) 544-3190

Other identifiers 2

IdentifierTypeStateIssuer
0019140550002MedicaidPA
021831Q42OtherPAMEDICARE PTAN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457568000000",
    "number": "1649298498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "694 GOOD DRIVE",
            "address_2": "SUITE 205",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "17604",
            "telephone_number": "717-544-3190",
            "fax_number": "717-544-3189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "694 GOOD DRIVE",
            "address_2": "SUITE 205",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "17604",
            "telephone_number": "717-544-3190",
            "fax_number": "717-544-3189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCER CARE FOR WOMEN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2016-03-10",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-544-3190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019140550002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "021831Q42",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; 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.