Organization Active NPI

Regional Cancer Care

  • Hematology & Oncology Physician
  • Mebane, NC
National Provider Identifier
1972839074
Registry record updated May 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
REGIONAL CANCER CARE
Practice address
1107 S Fifth St
Suite 200
Mebane, NC 27302-9597
Phone
(919) 563-4111
NPI assigned
Oct 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2012

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

Authorized official

Name
Mr. Thomas Grates
Title
Executive Director
Phone
(919) 829-4450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X Primary

Addresses

Primary practice location

1107 S Fifth St
Suite 200
Mebane, NC 27302-9597

Mailing address

PO Box 601114
Charlotte, NC 28260-1114

Other identifiers 1

IdentifierTypeStateIssuer
5908206MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Regional Cancer Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1107 S Fifth St
Ste 200
Mebane, NC 27302
Phone (919) 563-4111

Practitioners & affiliated clinicians

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": "1256256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338249600000",
    "number": "1972839074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601114",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 S FIFTH ST",
            "address_2": "SUITE 200",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273029597",
            "telephone_number": "919-563-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL CANCER CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-23",
        "last_updated": "2012-05-29",
        "status": "A",
        "authorized_official_last_name": "GRATES",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-829-4450",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5908206",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mebane, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; 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.