Organization Active NPI

Rose Cancer Center PC

  • Hematology & Oncology Physician
  • Summit, MS
National Provider Identifier
1760585178
Registry record updated Dec 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
18057 Issued in MS
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

Updated by the provider on Dec 6, 2010

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)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
08534501MedicaidMS
255558234AOtherMSBCBS
18057OtherMSLICENSE

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.