NPIMap

Organization Active NPI

Cancer Care Associates PC

  • Hematology & Oncology Physician
  • Royal Oak, MI
National Provider Identifier
1750431102
Registry record updated Sep 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
CANCER CARE ASSOCIATES PC
Practice address
3577 W 13 Mile Rd
Suite 404
Royal Oak, MI 48073-6710
Phone
(248) 551-6900
Fax
(248) 551-6909
NPI assigned
Jan 10, 2007
Last updated
Sep 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2015

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

Authorized official

Name
Mrs. Judy Whitfield
Title
Medical Services Manager
Phone
(248) 551-6991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MI Primary

Addresses

Primary practice location

3577 W 13 Mile Rd
Suite 404
Royal Oak, MI 48073-6710

Mailing address

3577 W 13 Mile Rd
Suite 404
Royal Oak, MI 48073-6710
Phone (248) 551-6900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040907000219 MI Part B Supplier - Clinic/Group Practice 1557337102 Receives reassigned benefits from 5 practitioners
Practice locations: Royal Oak, MI

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1701 South Blvd E
Ste B50
Rochester Hills, MI 48307
Phone (247) 288-2025

3577 W 13 Mile Rd
Ste 404
Royal Oak, MI 48073
Phone (248) 551-6900

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443398400000",
    "number": "1750431102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3577 W 13 MILE RD",
            "address_2": "SUITE 404",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736710",
            "telephone_number": "248-551-6900",
            "fax_number": "248-551-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3577 W 13 MILE RD",
            "address_2": "SUITE 404",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736710",
            "telephone_number": "248-551-6900",
            "fax_number": "248-551-6909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCER CARE ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2015-09-28",
        "status": "A",
        "authorized_official_last_name": "WHITFIELD",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "MEDICAL SERVICES MANAGER",
        "authorized_official_telephone_number": "248-551-6991",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; 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.