Henderson Cancer Center PSC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

HENDERSON CANCER CENTER PSC

Practice address

1401 N Elm St
Henderson, KY 42420-2784

Phone

(270) 827-0255

Fax

(270) 826-5342

NPI assigned

May 8, 2006

Last updated

Sep 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alvin None Korba, MEDICAL DOCTOR

Title

President

Phone

(270) 826-0255

Specialties & licenses 3

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1922057850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15040",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477160040",
            "telephone_number": "812-476-1367",
            "fax_number": "812-477-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 N ELM ST",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202784",
            "telephone_number": "270-827-0255",
            "fax_number": "270-826-5342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDERSON CANCER CENTER PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "KORBA",
        "authorized_official_first_name": "ALVIN",
        "authorized_official_middle_name": "NONE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-826-0255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MEDICAL DOCTOR"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CA0138",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65913774",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Coral J. Haynes, MA, LPCC
• Angela Dawn Heiss, PHARM.D., R.PH.
• Help at Home, LLC
• Henderson Acute Care Specialists PLLC
• Henderson Birth and Wellness, PLLC (Henderson Family Care)
• Henderson Children's Dentistry, LLC
• Henderson Chiropractic, LLC
• Henderson County Health Care Corporation (Redbanks Nursing Home)
• Henderson County Schools
• Henderson First Aid Inc

• Radiation Oncology Physician in Henderson, KY
• Providers in Henderson, KY by specialty
• Radiation Oncology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; 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.