CANCER CARE GROUP, P.C. (NPI# 1205887890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205887890 |
| Entity Type | Organization |
| Organization Name | CANCER CARE GROUP, P.C. |
| Practice Address |
3500 S Lafountain St Kokomo IN 46902-3803 |
| Mailing Address |
Po Box 664087 Indianapolis IN 46266-4087 |
| Practice Telephone | 7654538571 |
| Practice Fax Number | 7658648769 |
| Mailing Telephone | 3177151800 |
| Mailing Fax Number | 3177156200 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2008-02-14 |
| Authorized Official Name | MR. THOMAS C. DUGAN (PRESIDENT) |
| Authorized Official Telephone | 3177151800 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548439938 | Cancer Care Group, P.C. | Radiology | 1600 Lafayette Rd, Crawfordsville, IN 47933-1031 | 2008-02-29 |
| 1659491132 | Cancer Care Group, P.C. | Radiology | 6100 W 96th St Ste 125, Indianapolis, IN 46278-6006 | 2007-03-30 |
| 1851411946 | Cancer Care Group, P.C. | Radiology | 11725 Illinois Street, Suite Ll050, Carmel, IN 46032-3008 | 2007-03-30 |
| 1447429832 | Cancer Care Group, P.C. | Radiology | 11201 Usa Pkwy, Suite 100, Fishers, IN 46037-9202 | 2008-02-29 |
| 1841469236 | Cancer Care Group, P.C. | Radiology | 1941 Virginia Ave, Connersville, IN 47331-2833 | 2008-02-29 |
| 1194994582 | Cancer Care Group, P.C. | Radiology | 275 W 12th St, Peru, IN 46970-1638 | 2008-02-29 |
| 1528237989 | Cancer Care Group, P.C. | Radiology | 1907 W Sycamore St, Kokomo, IN 46901-5148 | 2008-02-29 |
| 1316116700 | Cancer Care Group, P.C. | Radiology | 8301 Harcourt Rd, Indianapolis, IN 46260-2081 | 2008-02-29 |
| 1679742068 | Cancer Care Group, P.C. | Radiology | 8244 E Us Highway 36, Avon, IN 46123-9575 | 2008-02-29 |
| 1629247028 | Cancer Care Group, P.C. | Radiology | 315 W Old Key Dr, Suite 140, Peru, IN 46970-9057 | 2008-02-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | CANCER CARE GROUP, P.C. | 6100 West 96th Street Ste 125, Indianapolis, IN 46278 |
| Street Address |
3500 S LAFOUNTAIN ST |
| City | KOKOMO |
| State | IN |
| Zip Code | 46902-3803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023099868 | Cathy J Simms | Nurse Practitioner | 3500 S Lafountain St, Kokomo, IN 46902-3803 | 2005-11-09 |
| 1366043911 | Chelsea M Gustafson | Pharmacist | 3500 S Lafountain St, Kokomo, IN 46902-3803 | 2020-11-02 |
| 1700409257 | Rachelle Goddard | Registered Nurse | 3500 S Lafountain St, Kokomo, IN 46902-3803 | 2020-05-19 |
| 1144878612 | Ellman Barkley Holder | Registered Nurse | 3500 S Lafountain St, Kokomo, IN 46902-3803 | 2019-08-28 |
| 1023598307 | Alannah Scott | Nurse Practitioner | 3500 S Lafountain St, Kokomo, IN 46902-3803 | 2018-08-16 |
| 1487173936 | Mid America Clinical Laboratories LLC | Clinical Medical Laboratory | 3500 S Lafountain St, Kokomo, IN 46902-3803 | 2017-09-15 |
| 1639691413 | Ginger Ann Smith | Nurse Practitioner | 3500 S Lafountain St, Kokomo, IN 46902-3803 | 2017-07-12 |
| 1700325586 | Community Howard Regional Health, Inc | Clinic/Center | 3500 S Lafountain St, Kokomo, IN 46902-3803 | 2017-02-14 |
| 1760925762 | Howard Community Ambulance Service | Ambulance | 3500 S Lafountain St, Kokomo, IN 46902-3803 | 2016-11-22 |
| 1881054575 | Heather Hare | Nurse Practitioner | 3500 S Lafountain St, Kokomo, IN 46902-3803 | 2016-02-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699306241 | Amber Barney | Nurse Practitioner | 3611 S Lafountain St, Kokomo, IN 46902 | 2020-02-03 |
| 1215585914 | Kenneth Waitt | Pharmacist | 4026 County Rd E 400 S, Kokomo, IN 46902 | 2019-08-27 |
| 1457906141 | With Dignity Too LLC | Clinic/Center | 1958 West Boulivard, Kokomo, IN 46902 | 2019-08-08 |
| 1649738931 | Kc Caregivers, Inc. | In Home Supportive Care | 4053 S Webster St, Kokomo, IN 46902 | 2019-03-06 |
| 1225514805 | Navneet Aulakh | Dentist | Lakewood Family Dental of Kokomo Pllc, 2302 S Dixon Rd Suite 125, Kokomo, IN 46902 | 2018-07-17 |
| 1285127548 | Jeremy Matthew Gibson | Case Manager/Care Coordinator | 2739 Albright Rd, Kokomo, IN 46902 | 2018-06-12 |
| 1821585175 | Kneeded Balance and Tranquility | Massage Therapist | 3708 S. Lafountain St, Kokomo, IN 46902 | 2018-04-21 |
| 1063812899 | Gabriel Valentine | Counselor | 1613 South Elizabeth St, Apt 1b, Kokomo, IN 46902 | 2014-08-28 |
| 1588085740 | Roni Dinglasa | Physical Therapist | 2102 Cedar Run Drive, Kokomo, IN 46902 | 2013-12-13 |
| 1063761559 | Kimberly R Kuehl | Pharmacist | 1037 S. Reed Road, Kokomo, IN 46902 | 2012-08-30 |
| Find all providers in zip 46902 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316947138 | David Bennett Ross | Radiology | 3500 South Lafountain St, Radiation Therapy, Kokomo, IN 46904-9011 | 2005-07-22 |
| 1528237989 | Cancer Care Group, P.C. | Radiology | 1907 W Sycamore St, Kokomo, IN 46901-5148 | 2008-02-29 |
| 1801810346 | Board of Trustees of Howard Community Hospital | Radiology | 3500 S Lafountain St, Kokomo, IN 46902-3803 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336607555 | Cancer Specialists LLC | Radiology | 600 Vale Park Rd N Unit A, Valparaiso, IN 46383-2546 | 2019-03-06 |
| 1811376759 | Namita Agrawal | Radiology | 3420 Dubois St, West Lafayette, IN 47906-7200 | 2015-05-26 |
| 1194982512 | Jennifer Elizabeth Fisher | Radiology | 1340 N. Madison, Anderson, IN 46011-1216 | 2008-05-22 |
| 1548439938 | Cancer Care Group, P.C. | Radiology | 1600 Lafayette Rd, Crawfordsville, IN 47933-1031 | 2008-02-29 |
| 1659491132 | Cancer Care Group, P.C. | Radiology | 6100 W 96th St Ste 125, Indianapolis, IN 46278-6006 | 2007-03-30 |
| 1851411946 | Cancer Care Group, P.C. | Radiology | 11725 Illinois Street, Suite Ll050, Carmel, IN 46032-3008 | 2007-03-30 |
| 1265527329 | Stanley Scot Givens | Radiology | 8244 East Us 36, Avon, IN 46123 | 2006-10-04 |
| 1598850653 | Robert Howard Liebross | Radiology | 8402 Harcourt Road, Suite 721, Indianapolis, IN 46260 | 2006-10-04 |
| 1205949252 | Heartland Radiation Oncology | Radiology | 1159 W Jefferson St, Franklin, IN 46131-2794 | 2006-08-16 |
| 1356373526 | Eileen F Mcgarvey | Radiology | 621 West St, Madison, IN 47250-3344 | 2006-07-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.