NPIMap

Organization Active NPI

Adams County Cancer Center LLC

  • Radiation Oncology Clinic/Center
  • Seaman, OH
National Provider Identifier
1669659355
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X
Legal business name
ADAMS COUNTY CANCER CENTER LLC
Practice address
285 Medical Center Drive
Seaman, OH 45679-8006
Phone
(937) 386-0000
Fax
(937) 386-0009
NPI assigned
Jan 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Dr. Prakash B. Patel, M.D.
Title
Member Manager
Phone
(937) 386-0000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X 35091254 OH
Radiation Oncology Clinic/Center 261QX0203X Primary

Addresses

Primary practice location

285 Medical Center Drive
Seaman, OH 45679-8006

Mailing address

285 Medical Center Drive
Seaman, OH 45679-8006
Phone (937) 386-0000

Other identifiers 1

IdentifierTypeStateIssuer
2798932MedicaidOH

Other names 1

  • Adams County Cancer Center, LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080313000725 OH Part B Supplier - Clinic/Group Practice 3274618285 Receives reassigned benefits from 3 practitioners
Practice locations: Seaman, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1669659355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 MEDICAL CENTER DRIVE",
            "city": "SEAMAN",
            "state": "OH",
            "postal_code": "456798006",
            "telephone_number": "937-386-0000",
            "fax_number": "937-386-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 MEDICAL CENTER DRIVE",
            "city": "SEAMAN",
            "state": "OH",
            "postal_code": "456798006",
            "telephone_number": "937-386-0000",
            "fax_number": "937-386-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAMS COUNTY CANCER CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-25",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PRAKASH",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "937-386-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OH",
            "license": "35091254",
            "primary": false
        },
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2798932",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adams County Cancer Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seaman, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.