Cancer Care Group P.C.
Organization Active NPI Radiation Oncology Physician · Franklin, IN
NPI 1740434174 · NPPES record last updated Nov 12, 2008
Key facts
- NPI
- 1740434174
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Radiation Oncology Physician 2085R0001X
- License
- 50004183A (IN)
- Legal business name
- CANCER CARE GROUP P.C.
- Practice address
- 1159 W Jefferson St
Franklin, IN 46131-2794 - Phone
- (317) 736-3346
- NPI assigned
- Nov 12, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Thomas C Dugan, M.D.
- Title
- President
- Phone
- (317) 715-1800
Other NPIs on the same Medicare enrollment 31
Corporate family (same tax ID) 35
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031121000316 | IN | Part B Supplier - Clinic/Group Practice | 1850295858 |
Receives reassigned benefits from 23 practitioners 31 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Indianapolis, IN; Kokomo, IN; Lafayette, IN; Lebanon, IN; Logansport, IN; Mooresville, IN; Noblesville, IN; Peru, IN… |
National Provider Directory
- Tax ID family
- Cancer Care Group PC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician |
2085R0001X | 50004183A | IN | Yes |
Addresses
Primary practice location
1159 W Jefferson St
Franklin, IN 46131-2794
Mailing address
6100 W 96TH St
Suite 125
Indianapolis, IN 46278-6005
Phone (317) 715-1800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200897640 | Medicaid | IN | |
| 200259350 | Medicaid | IN |
Other names
- Johnson Memorial Hospital
Other providers in Franklin, IN
- Matthew D Bullington
- Mandy Burton
- Misty K Bustle
- Philip Butler
- Michael Scott Campbell
- Cardinal Recovery LLC
- Caretenders Visiting Services of Kentuckiana, LLC
- Sarah Carlile
- Matthew Carmichael
- Karen Marie Carpenter
All providers in Franklin, IN · Radiation Oncology Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.