NPIMap

Organization Active NPI

Cancer Care Network of South Texas PA

  • Hematology & Oncology Physician
  • San Antonio, TX
National Provider Identifier
1841441961
Registry record updated May 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
CANCER CARE NETWORK OF SOUTH TEXAS PA
Practice address
4411 Medical Drive
Ste. 100
San Antonio, TX 78229-3832
Phone
(210) 595-5300
Fax
(210) 595-5301
NPI assigned
Oct 7, 2008
Last updated
May 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2010

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

Authorized official

Name
Roger M Lyons, MDNPI 1508838285
Title
President
Phone
(210) 595-5300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Internal Medicine) Physician 207RH0000X
Hematology & Oncology Physician 207RH0003X Primary
Medical Oncology Physician 207RX0202X
Gynecologic Oncology Physician 207VX0201X
Radiation Oncology Physician 2085R0001X

Addresses

Primary practice location

4411 Medical Drive
Ste. 100
San Antonio, TX 78229-3832

Mailing address

4411 Medical Drive
Ste. 100
San Antonio, TX 78229-3832
Phone (210) 595-5300

Other identifiers 2

IdentifierTypeStateIssuer
00U40QOtherTXBCBS OF TX
109514302MedicaidTX

Other names 1

  • ACNA Other name

National Provider Directory

National Provider Directory
Tax ID family
Michael McGrath11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4411 Medical Dr
Ste 100
San Antonio, TX 78229
Phone (210) 595-5326

Practitioners & affiliated clinicians

Practitioners 1

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": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274832000000",
    "number": "1841441961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 MEDICAL DRIVE",
            "address_2": "STE. 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293832",
            "telephone_number": "210-595-5300",
            "fax_number": "210-595-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 MEDICAL DRIVE",
            "address_2": "STE. 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293832",
            "telephone_number": "210-595-5300",
            "fax_number": "210-595-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCER CARE NETWORK OF SOUTH TEXAS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2010-05-26",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-595-5300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TX",
            "identifier": "00U40Q",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109514302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACNA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.