Owensboro Cancer Center PSC

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

License

21298 Issued in KY

Legal business name

OWENSBORO CANCER CENTER PSC

Practice address

1020 Breckenridge St
Ste 200
Owensboro, KY 42303-1784

Phone

(270) 688-1900

Fax

(270) 688-1905

NPI assigned

Jan 17, 2007

Last updated

May 5, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dattatraya S Prajapati, MD

Title

Principal Officer

Phone

(270) 688-1900

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Donna L Sublett, APRN

  • Nurse Practitioner
  • Owensboro, KY
  • NPI 1316948250
  NPD (past)
• Yogesh K Gandhi, MD

  • Hematology & Oncology Physician
  • Prince George, VA
  • NPI 1699744839
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241481600000",
    "number": "1730231887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1784",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423021784",
            "telephone_number": "270-688-1900",
            "fax_number": "270-688-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 BRECKENRIDGE ST",
            "address_2": "STE 200",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031784",
            "telephone_number": "270-688-1900",
            "fax_number": "270-688-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWENSBORO CANCER CENTER PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2009-05-05",
        "status": "A",
        "authorized_official_last_name": "PRAJAPATI",
        "authorized_official_first_name": "DATTATRAYA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRINCIPAL OFFICER",
        "authorized_official_telephone_number": "270-688-1900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "KY",
            "license": "21298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000196488",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000027405",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65946162",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY LICENSE",
            "identifier": "36564",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Joyce Owens, ARNP
• Owensboro Ambulatory Surgical Facility LTD
• Owensboro Anesthesia Services, PLLC
• Owensboro Behavioral Care PSC
• Owensboro Board of Education
• Owensboro Center for Oral & Maxillofacial Surgery, PLLC
• Owensboro Dermatology Associates
• Owensboro Dermatology Associates, PSC (Henderson Dermatology)
• Owensboro Endodontics, PSC
• Owensboro Eyecare Center PLLC

• Medical Oncology Physician in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Medical Oncology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.