Cancer Care Group, P.C.
Organization Active NPI Radiation Oncology Physician · Lafayette, IN
NPI 1942902077 · NPPES record last updated Mar 21, 2023
Key facts
- NPI
- 1942902077
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Radiation Oncology Physician 2085R0001X
- Legal business name
- CANCER CARE GROUP, P.C.
- Practice address
- 1425 Unity PL
Lafayette, IN 47905-5756 - Phone
- (765) 447-7460
- NPI assigned
- Mar 21, 2023
- Organization subpart
- No
Authorized official
- Name
- Stephen Anthony Freeland
- Title
- Ceo
- Phone
- (317) 715-1800
Other NPIs on the same Medicare enrollment 31
Corporate family (same tax ID) 35
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031121000316 | IN | Part B Supplier - Clinic/Group Practice | 1850295858 |
Receives reassigned benefits from 23 practitioners 31 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Indianapolis, IN; Kokomo, IN; Lafayette, IN; Lebanon, IN; Logansport, IN; Mooresville, IN; Noblesville, IN; Peru, IN… |
National Provider Directory
- Tax ID family
- Cancer Care Group PC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician |
2085R0001X | Yes |
Addresses
Primary practice location
1425 Unity PL
Lafayette, IN 47905-5756
Mailing address
6100 W 96TH St Ste 125
Indianapolis, IN 46278-6006
Phone (317) 715-1800
Other practice location 1
1701 S Creasy Ln
Lafayette, IN 47905-4972
Phone (765) 447-7460
Other names
- Cancer Care Group Lafayette
Other providers in Lafayette, IN
- Kylie Campbell
- Miah Campbell
- Sarah Campbell
- Karrie Canary
- Cancer Care Group P.C.
- Brianne Nicole Caniglia
- Lisa Cannon
- Binh Q Cao
- Karla Andrea Vergara Capecci
- Candy Adriana Capilla
All providers in Lafayette, IN · Radiation Oncology Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.