INDIANA CANCER SPECIALISTS, LLC (NPI# 1366982910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366982910 |
| Entity Type | Organization |
| Organization Name | INDIANA CANCER SPECIALISTS, LLC |
| Practice Address |
1706 Lafayette Rd Crawfordsville IN 47933-1033 |
| Mailing Address |
8301 Harcourt Rd Suite 205 Indianapolis IN 46260-2081 |
| Practice Telephone | 7653613000 |
| Practice Fax Number | 7653613005 |
| Mailing Telephone | 3172283393 |
| Mailing Fax Number | 3178761305 |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2017-03-01 |
| Authorized Official Name | SRIDHAR BOLLA (PRESIDENT) |
| Authorized Official Telephone | 3172283393 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336689702 | Indiana Cancer Specialists, LLC | Durable Medical Equipment & Medical Supplies | 8301 Harcourt Rd, Suite 205, Indianapolis, IN 46260-2081 | 2017-03-03 |
| 1811437460 | Indiana Cancer Specialists, LLC | Durable Medical Equipment & Medical Supplies | 1111 Ronald Reagan Pkwy, Suite B1500, Avon, IN 46123-7085 | 2017-03-01 |
| 1902346562 | Indiana Cancer Specialists, LLC | Durable Medical Equipment & Medical Supplies | 100 Hospital Ln, Suite 320, Danville, IN 46122-1989 | 2017-03-01 |
| 1720528383 | Indiana Cancer Specialists, LLC | Durable Medical Equipment & Medical Supplies | 1907 W Sycamore St, Kokomo, IN 46901-5148 | 2017-03-01 |
| 1780124586 | Indiana Cancer Specialists, LLC | Nurse Practitioner | 8301 Harcourt Rd, Suite 205, Indianapolis, IN 46260-2081 | 2017-02-28 |
| Street Address |
1706 LAFAYETTE RD |
| City | CRAWFORDSVILLE |
| State | IN |
| Zip Code | 47933-1033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447361829 | American Health Network of Indiana, LLC | Internal Medicine | 1706 Lafayette Rd, Crawfordsville, IN 47933-1033 | 2006-08-31 |
| 1376793570 | American Health Network of Indiana, LLC | Durable Medical Equipment & Medical Supplies | 1706 Lafayette Rd, Crawfordsville, IN 47933-1033 | 2008-09-24 |
| 1497928923 | American Health Network of Indiana, LLC | Durable Medical Equipment & Medical Supplies | 1706 Lafayette Rd, Crawfordsville, IN 47933-1033 | 2008-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093370454 | Mh Nursing of Indiana, PC | Nurse Practitioner | 600 Sr32 West, Crawfordsville, IN 47933 | 2019-05-01 |
| 1336678192 | Latoyia Cherdise Austin | Nurse Practitioner | 600 Sr 32 West, Crawfordsville, IN 47933 | 2017-06-06 |
| 1154579597 | Crossroads Orthotics & Consultation, Inc. | Prosthetic/Orthotic Supplier | 821 S Washington, Crawfordsville, IN 47933 | 2008-08-27 |
| 1487849063 | Assisted Living Concepts Inc | Assisted Living Facility | 1719 South Elm Street, Crawfordsville, IN 47933 | 2007-09-07 |
| 1912129503 | Stephen W. Rasmussen | Dentist | 1485 S. Grant Ave., Suite B, Crawfordsville, IN 47933 | 2007-05-03 |
| 1932244597 | Stephanie Elaine Ford | Physical Therapist | 402 W Market, Crawfordsville, IN 47933 | 2007-02-21 |
| 1285776906 | Thomas A. Clemens | Optometrist | 1615 U.S. 231 South, Crawfordsville, IN 47933 | 2007-02-12 |
| 1730256819 | Nancy Jane Davis | Social Worker | 468 N Woodland Heights Dr, Crawfordsville, IN 47933 | 2006-11-30 |
| 1881761963 | Jennifer Sue Slavens | Counselor | 468 N Woodland Heights Drive, Crawfordsville, IN 47933 | 2006-11-30 |
| 1639249188 | Regina Lee Endicott | Nurse Practitioner | 4537 S Nucor Rd, Crawfordsville, IN 47933 | 2006-11-09 |
| Find all providers in zip 47933 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891130191 | Franciscan Physician Network | Durable Medical Equipment & Medical Supplies | 1500 Darlington Avenue, Suite 300, Crawfordsville, IN 47933-2060 | 2013-05-01 |
| 1306149703 | Rmi Incorporated | Durable Medical Equipment & Medical Supplies | 1770 S Us Highway 231 Ste 1, Crawfordsville, IN 47933-9452 | 2010-12-08 |
| 1093015752 | Dura-med Inc | Durable Medical Equipment & Medical Supplies | 6170 Holes Crossing, Crawfordsville, IN 47933-9767 | 2010-10-28 |
| 1568650331 | Gordon R. Boyd O.d.,p.c. | Durable Medical Equipment & Medical Supplies | 1485 S. Grant Ave, Suite A, Crawfordsville, IN 47933-3329 | 2007-10-05 |
| 1487858205 | Cville Docs Inc | Durable Medical Equipment & Medical Supplies | 1408 Darlington Ave, Ste. F, Crawfordsville, IN 47933-2056 | 2007-06-14 |
| 1467525980 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 1660 Crawfordsville Square Dr, Crawfordsville, IN 47933-3800 | 2006-11-15 |
| 1205939980 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 106 E Market St, Crawfordsville, IN 47933-1720 | 2006-09-07 |
| 1669490512 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1835 S Us Highway 231, Crawfordsville, IN 47933-9424 | 2006-07-18 |
| 1952746240 | Franciscan Physician Network | Durable Medical Equipment & Medical Supplies | 308 W Market St, Crawfordsville, IN 47933-1632 | 2013-05-01 |
| 1588007983 | Franciscan Physician Network | Durable Medical Equipment & Medical Supplies | 1702 Lafayette Rd, Crawfordsville, IN 47933-1033 | 2013-04-16 |
| Find all providers in CRAWFORDSVILLE | ||||
| City | CRAWFORDSVILLE |
| Zip Code | 47933 |
Please comment or provide details below to improve the information on INDIANA CANCER SPECIALISTS, 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.