VANTAGE CANCER CARE NETWORK OF INDIANA, LLC (NPI# 1245633122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245633122 |
| Entity Type | Organization |
| Organization Name | VANTAGE CANCER CARE NETWORK OF INDIANA, LLC |
| Practice Address |
8902 N Meridian St Suite 104 Indianapolis IN 46260-5382 |
| Mailing Address |
1500 Rosecrans Ave Suite 400 Manhattan Beach CA 90266-3763 |
| Practice Telephone | 3178534500 |
| Mailing Telephone | 3103354000 |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2014-10-15 |
| Authorized Official Name | MR. STEVEN UDICIOUS (VICE PRESIDENT, GENERAL COUNSEL) |
| Authorized Official Telephone | 6105190550 |
| Authorized Official Credential | ESQUIRE |
| Is Organization Subpart | Y |
| Parent Organization Name | VANTAGE CANCER CARE NETWORKS, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
Allopathic & Osteopathic Physicians |
| Street Address |
8902 N MERIDIAN ST SUITE 104 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46260-5382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043214034 | David V Poer | Ophthalmology | 8902 N Meridian St, Ste 120, Indianapolis, IN 46260-5306 | 2005-06-08 |
| 1356882401 | Central Indiana Urology PC | Urology | 8902 N Meridian St, Suite 135, Indianapolis, IN 46260-5382 | 2017-03-09 |
| 1750732087 | Power Weight Loss Inc | Internal Medicine | 8902 N Meridian St, Suite 230, Indianapolis, IN 46260-5382 | 2016-06-28 |
| 1588012165 | Hannah Enochs | Physical Therapist | 8902 N Meridian St, #215, Indianapolis, IN 46260-5382 | 2016-05-24 |
| 1871940858 | Bryan Gezon | Physical Therapist | 8902 N Meridian St, #215, Indianapolis, IN 46260-5382 | 2016-05-19 |
| 1356744239 | Vantage Cancer Care - Indiana, LLC | Radiology | 8902 N Meridian St, Suite 104, Indianapolis, IN 46260-5382 | 2014-10-06 |
| 1386058667 | Matthew Marvin Zaudtke | Physical Therapist | 8902 N Meridian St, 215, Indianapolis, IN 46260-5382 | 2014-06-16 |
| 1497171383 | Chelsea Savage | Physical Therapist | 8902 N Meridian St, Suite 215, Indianapolis, IN 46260-5382 | 2014-03-15 |
| 1821429481 | Donna Marie Blake | Nurse Practitioner | 8902 N Meridian St, Suite 230, Indianapolis, IN 46260-5382 | 2013-12-09 |
| 1225385339 | Kevin Thomas Sanborn | Physical Therapist | 8902 N Meridian St, Ste 215, Indianapolis, IN 46260-5382 | 2012-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478298 | Verity Smile Studio, LLC | Clinic/Center | 1619 W. 86th St Suite B, Indianapolis, IN 46260 | 2020-08-23 |
| 1225666589 | Alexander Michael Kiel | Student in an Organized Health Care Education/Training Program | Internal Medicine 3 North, 2001 W. 86th Street, Indianapolis, IN 46260 | 2020-03-31 |
| 1043793151 | Lisa R Foreman | Registered Nurse | 1389 W. 86th Street Unit # 238, Indianapolis, IN 46260 | 2018-09-13 |
| 1790268399 | Esther Muturi | Chore Provider | 1214 Racquetclub South Drive Apt C, Indianapolis, IN 46260 | 2018-09-10 |
| 1912483215 | Katherine Donnelly | Community Health Worker | 1612 Lancashire Ct, Indianapolis, IN 46260 | 2018-07-19 |
| 1326539628 | Peaceful Source Midwifery LLC | Advanced Practice Midwife | 1139 Canterbury Ct., Unit B, Indianapolis, IN 46260 | 2018-05-22 |
| 1144722695 | Mindful Services Center LLC | Clinic/Center | 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 | 2018-03-01 |
| 1144731910 | Meenu Jain | Student in an Organized Health Care Education/Training Program | Internal Medicine, 8414 Naab Road, Suite 100, Indianapolis, IN 46260 | 2017-10-19 |
| 1609392422 | 1717 Senior Living, LLC | Assisted Living Facility | 1703 West 86th Street, Indianapolis, IN 46260 | 2017-08-15 |
| 1093246985 | Royalty Transports LLC | Bus | 2255 W. 67th St., Indianapolis, IN 46260 | 2017-03-23 |
| Find all providers in zip 46260 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669419867 | Roberto Pili | Internal Medicine | 1030 W Michigan St, Indianapolis, IN 46202-5201 | 2006-05-31 |
| 1154313260 | Elsayed M. Aly | Internal Medicine | 6845 Rama Drive, Indianapolis, IN 46219-1707 | 2005-08-16 |
| 1821080847 | Sead Beganovic | Internal Medicine | 1346 E. County Line Rd, Indianapolis, IN 46227-0962 | 2005-08-16 |
| 1588663983 | Raymond M Harwood | Internal Medicine | 8301 Harcourt Rd, Ste 200, Indianapolis, IN 46260-2081 | 2005-07-18 |
| 1770894354 | Deng Zhang | Internal Medicine | 8301 Harcourt Rd Ste 200, Indianapolis, IN 46260-2082 | 2010-06-29 |
| 1306953187 | Michael Wiemann | Internal Medicine | 8402 Harcourt Rd, Suite #324, Indianapolis, IN 46260-2074 | 2006-08-25 |
| 1922034156 | Brian P. Mulherin | Internal Medicine | 8301 Harcourt Rd Ste 200, Indianapolis, IN 46260-2082 | 2006-06-22 |
| 1205896818 | Daniel T. Milton | Internal Medicine | 8301 Harcourt Rd Ste 200, Indianapolis, IN 46260-2082 | 2006-03-27 |
| 1902887896 | Naftali Bechar | Internal Medicine | 7229 Clearvista Dr, Indianapolis, IN 46256-1698 | 2005-11-08 |
| 1295735058 | Ruemu E Birhiray | Internal Medicine | 8301 Harcourt Rd, Suite #200, Indianapolis, IN 46260-2081 | 2005-07-22 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46260 |
Please comment or provide details below to improve the information on VANTAGE CANCER CARE NETWORK OF INDIANA, LLC.
| 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.