Active NPI
Rose Cancer Center PC
- Hematology & Oncology Physician
- Summit, MS
National Provider Identifier
1760585178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 18057
- Legal business name
- ROSE CANCER CENTER PC
- Practice address
- 807 Robb Street
Summit, MS 39666 - Phone
- (601) 957-7340
- Fax
- (601) 249-5529
- NPI assigned
- Sep 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Meera Sachdeva, MD
- Title
- Physician Medical Director
- Phone
- (601) 249-5526
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 18057 | MS | Primary |
Addresses
Primary practice location
807 Robb Street
Summit, MS 39666
Mailing address
PO Box 1963
McComb, MS 39649
Phone (601) 249-5526
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08534501 | Medicaid | MS | |
| 255558234A | Other | MS | BCBS |
| 18057 | Other | MS | LICENSE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1291593600000",
"number": "1760585178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1963",
"city": "MCCOMB",
"state": "MS",
"postal_code": "39649",
"telephone_number": "601-249-5526",
"fax_number": "601-249-5529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "807 ROBB STREET",
"city": "SUMMIT",
"state": "MS",
"postal_code": "39666",
"telephone_number": "601-957-7340",
"fax_number": "601-249-5529"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSE CANCER CENTER PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-07",
"last_updated": "2010-12-06",
"status": "A",
"authorized_official_last_name": "SACHDEVA",
"authorized_official_first_name": "MEERA",
"authorized_official_title_or_position": "PHYSICIAN MEDICAL DIRECTOR",
"authorized_official_telephone_number": "601-249-5526",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "MS",
"license": "18057",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08534501",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "255558234A",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "18057",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Summit, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.