Organization Active NPI

Harrisburg Cancer Center Inc

  • Radiation Oncology Physician
  • Harrisburg, IL
National Provider Identifier
1972553550
Registry record updated Sep 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
HARRISBURG CANCER CENTER INC
Practice address
20 Hospital Dr
Harrisburg, IL 62946-2453
Phone
(618) 252-5126
Fax
(618) 252-0135
NPI assigned
May 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2008

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

Authorized official

Name
Dr. Aly A. Razek, MEDICAL DOCTOR
Title
President
Phone
(618) 252-5126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0001X Primary

Addresses

Primary practice location

20 Hospital Dr
Harrisburg, IL 62946-2453

Mailing address

PO Box 15040
Evansville, IN 47716-0040
Phone (812) 476-1367

Other identifiers 2

IdentifierTypeStateIssuer
CN1378OtherILRR MEDICARE
3300262019MedicaidIL

National Provider Directory

National Provider Directory

Locations

20 Hospital Dr
Harrisburg, IL 62946
Phone (618) 252-5126

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1972553550",
    "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": "20 HOSPITAL DR",
            "city": "HARRISBURG",
            "state": "IL",
            "postal_code": "629462453",
            "telephone_number": "618-252-5126",
            "fax_number": "618-252-0135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRISBURG CANCER CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "RAZEK",
        "authorized_official_first_name": "ALY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-252-5126",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MEDICAL DOCTOR"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CN1378",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3300262019",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, IL

Sources for this page

  • 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.