COMMUNITY CANCER FOUNDATION (NPI# 1457351991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457351991 |
| Entity Type | Organization |
| Organization Name | COMMUNITY CANCER FOUNDATION |
| Other Organization Name | COMMUNITY CANCER CENTER |
| Practice Address |
2880 Nw Stewart Pkwy Suite 100 Roseburg OR 97471-1201 |
| Practice Telephone | 5416732267 |
| Practice Fax Number | 5416729483 |
| Mailing Telephone | 5416732267 |
| Mailing Fax Number | 5416729483 |
| Enumeration Date | 2005-07-27 |
| Last Update Date | 2020-02-03 |
| Authorized Official Name | MR. TAMMY HAGEDORN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5416732267 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| N | 261QX0203X |
Clinic/Center Specialization: Oncology, Radiation |
Ambulatory Health Care Facilities | ||
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | REGENCE BCBS OF OREGON | 002524000 | 01 |
| OR | 000773 | 05 | |
| OR | REGENCE BCBS PC65 | 4308388 | 01 |
| Other Name | Type Code |
|---|---|
| Community Cancer Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982833752 | Community Cancer Foundation | Dietitian, Registered | 2880 Nw Stewart Pkwy, Suite 100, Roseburg, OR 97471-1201 | 2009-07-14 |
| 1376639153 | Community Cancer Foundation | Clinic/Center | 2880 Nw Stewart Pkwy, Suite 100, Roseburg, OR 97471-1201 | 2006-10-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | COMMUNITY CANCER FOUNDATION | 2880 Nw Stewart Pkwy Ste 100, Roseburg, OR 97471 |
| Street Address |
2880 NW STEWART PKWY SUITE 100 |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97471-1201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982833752 | Community Cancer Foundation | Dietitian, Registered | 2880 Nw Stewart Pkwy, Suite 100, Roseburg, OR 97471-1201 | 2009-07-14 |
| 1003982281 | Umpqua Medical PC | Internal Medicine | 2880 Nw Stewart Pkwy, Suite 200, Roseburg, OR 97471-1201 | 2006-11-28 |
| 1174613053 | Scott Randall Moore | Physician Assistant | 2880 Nw Stewart Pkwy, Suite 100, Roseburg, OR 97471-1201 | 2006-10-13 |
| 1376639153 | Community Cancer Foundation | Clinic/Center | 2880 Nw Stewart Pkwy, Suite 100, Roseburg, OR 97471-1201 | 2006-10-05 |
| 1124079140 | Michael L Brown | Radiology | 2880 Nw Stewart Pkwy, Suite 100, Roseburg, OR 97471-1202 | 2006-05-15 |
| 1134103252 | Michael C Oneil Jr. | Internal Medicine | 2880 Nw Stewart Pkwy, Suite 301, Roseburg, OR 97471-1206 | 2005-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805660 | Rae Ann Barnes | Pharmacist | 913 Ne Garden Valley Blvd, Pharmacy, Roseburg, OR 97471 | 2020-09-09 |
| 1023651031 | Colton Phillips | Behavioral Analyst | 940 Nw Garden Valley Bvld #104, Roseburg, OR 97471 | 2019-10-22 |
| 1952884876 | Meredith Krugel Lcsw PC | Clinic/Center | 2225 Nw Stewart Parkway Ste 200, Roseburg, OR 97471 | 2018-09-07 |
| 1114456563 | Philip Kaser Family, LLC | Pharmacy | 1175 W. Harvard Avenue, Roseburg, OR 97471 | 2017-06-08 |
| 1053854208 | Icco LLC | Clinic/Center | 1740 Nw Goetz Street, Roseburg, OR 97471 | 2016-11-21 |
| 1770034589 | Evie Jepsen | Case Manager/Care Coordinator | 2700 Stewart Parkway Annex B, Suite 110, Roseburg, OR 97471 | 2016-10-17 |
| 1932551256 | Jonathan Schmidt | Licensed Practical Nurse | 913 Nm Garden Valley Blvd, Va Roseburg Medical Center, Roseburg, OR 97471 | 2016-07-11 |
| 1932580586 | Jeffrey Mark Wareham | Case Manager/Care Coordinator | 2700 Medical Loop, Annex B, Roseburg, OR 97471 | 2015-06-09 |
| 1558784215 | Ginger Jean Thibedeau | Massage Therapist | 3019 Nw Stewart Parkway, Suite 304 #183, Roseburg, OR 97471 | 2014-01-30 |
| 1427303122 | Karishma Parekh | Internal Medicine | 2460 Nw Stewart Pkwy Ste 103, Roseburg, OR 97471 | 2012-07-18 |
| Find all providers in zip 97471 | ||||
| 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 |
|---|---|---|---|---|
| 1649223868 | Roseburg Oncology PC | Radiology | 2880 Nw Stewart Pkwy Ste 100, Roseburg, OR 97471-1201 | 2006-05-18 |
| 1194716456 | Sylvia K Gosline | Radiology | 148 N River Dr, Roseburg, OR 97470-8010 | 2005-11-03 |
| 1124079140 | Michael L Brown | Radiology | 2880 Nw Stewart Pkwy, Suite 100, Roseburg, OR 97471-1202 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417501420 | Oarm Services of Oregon PC | Radiology | 1713 Sw 24th St, Pendleton, OR 97801-4330 | 2019-07-29 |
| 1235549031 | Amar Srivastava | Radiology | 4805 Ne Glisan St, Garden Level, Portland, OR 97213 | 2014-05-01 |
| 1962848655 | Joshua M Walker | Radiology | 3181 Sw Sam Jackson Park Rd # Kpv4, Portland, OR 97239 | 2013-05-21 |
| 1740596105 | Kevin Forsythe | Radiology | 1457 G St, Springfield, OR 97477-4113 | 2010-08-24 |
| 1578610382 | Jerry Jeff Jaboin | Radiology | 3181 Sw Sam Jackson Park Rd # L337, Department of Radiation Medicine, Portland, OR 97239-3011 | 2007-01-04 |
| 1952467607 | Jerald Edward Albrich | Radiology | 2389 N Maple St, Canby, OR 97013-2106 | 2006-12-28 |
| 1427139120 | Radiation Therapy Consultants, PC | Radiology | 875 Oak St Se Ste 1080, Salem, OR 97301-3977 | 2006-10-18 |
| 1982702221 | Margaret J Thompson | Radiology | 12990 W Perrydale Rd, Amity, OR 97101-9519 | 2006-09-20 |
| 1881631745 | Grace E Yuh | Radiology | 2700 Se Stratus Ave Ste A, Mcminnville, OR 97128-6258 | 2006-06-01 |
| 1770520892 | Katie Anne Deming | Radiology | 1400 Nw Irving St, 527, Portland, OR 97209-2210 | 2006-05-31 |
| 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.