NPIMap

Organization Active NPI

Cancer Center of Davidson County, LLC

  • Radiation Oncology Clinic/Center
  • Lexington, NC
National Provider Identifier
1831331453
Registry record updated Apr 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X
Legal business name
CANCER CENTER OF DAVIDSON COUNTY, LLC
Practice address
107 W Medical Park Dr
Department of Radiation Oncology
Lexington, NC 27292-6851
Phone
(336) 238-1678
NPI assigned
Mar 27, 2009
Last updated
Apr 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2009

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

Authorized official

Name
Mr. Scott Krewson, CPA
Title
Business Adminstrator
Phone
(336) 713-6526

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Clinic/Center 261QX0203X Primary

Addresses

Primary practice location

107 W Medical Park Dr
Department of Radiation Oncology
Lexington, NC 27292-6851

Mailing address

107 W Medical Park Dr
Department of Radiation Oncology
Lexington, NC 27292-6851
Phone (336) 238-1678

National Provider Directory

National Provider Directory

Locations

107 W Medical Park Dr
Lexington, NC 27292
Phone (336) 238-1678

107 W Medical Park Dr
#D
Lexington, NC 27292
Phone (336) 238-1678

Practitioners & affiliated clinicians

Practitioners 12

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": "1238112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238544000000",
    "number": "1831331453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 W MEDICAL PARK DR",
            "address_2": "DEPARTMENT OF RADIATION ONCOLOGY",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272926851",
            "telephone_number": "336-238-1678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W MEDICAL PARK DR",
            "address_2": "DEPARTMENT OF RADIATION ONCOLOGY",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272926851",
            "telephone_number": "336-238-1678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCER CENTER OF DAVIDSON COUNTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-27",
        "last_updated": "2009-04-01",
        "status": "A",
        "authorized_official_last_name": "KREWSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "BUSINESS ADMINSTRATOR",
        "authorized_official_telephone_number": "336-713-6526",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.