NPIMap

Organization Active NPI

Cancer Network of West Central Ohio

Doing business as High Point Regional Cancer Center

  • Radiation Oncology Clinic/Center
  • Bellefontaine, OH
National Provider Identifier
1932139607
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X
License
1056RT Issued in OH
Legal business name
CANCER NETWORK OF WEST CENTRAL OHIO
Doing business as
High Point Regional Cancer Center
Practice address
2160 Ewing Crawfis Circle
Bellefontaine, OH 43311-9042
Phone
(937) 592-9221
NPI assigned
Jul 5, 2006
Last updated
Feb 22, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
THE CANCER NETWORK OF WEST CENTRAL OHIOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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

Authorized official

Name
Ms. Christine A Provaznik
Title
Managing Executive
Phone
(419) 226-9103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Clinic/Center 261QX0203X 1056RT OH Primary

Addresses

Primary practice location

2160 Ewing Crawfis Circle
Bellefontaine, OH 43311-9042

Mailing address

900 Havemann Road
Celina, OH 45822-1870
Phone (419) 584-1900

Other identifiers 1

IdentifierTypeStateIssuer
2429849MedicaidOH

Other names 1

  • High Point Regional Cancer Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040309000574 OH Part B Supplier - Clinic/Group Practice 3072401249 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Celina, OH

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
The Cancer Network of W

Member of 5

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 11

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": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1932139607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 HAVEMANN ROAD",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458221870",
            "telephone_number": "419-584-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 EWING CRAWFIS CIRCLE",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433119042",
            "telephone_number": "937-592-9221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCER NETWORK OF WEST CENTRAL OHIO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE CANCER NETWORK OF WEST CENTRAL OHIO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "PROVAZNIK",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING EXECUTIVE",
        "authorized_official_telephone_number": "419-226-9103",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": "OH",
            "license": "1056RT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2429849",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "High Point Regional Cancer Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellefontaine, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.