SOUTHEAST CANCER NETWORK, INC


Address: 105 Highway 80 E., Demopolis, AL 36732
Phone: 2053669740

SOUTHEAST CANCER NETWORK, INC (NPI# 1609072537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609072537
Entity Type Organization
Organization Name SOUTHEAST CANCER NETWORK, INC
Other Organization Name CANCER CARE CENTER OF DEMOPOLIS
Practice Address 105 Highway 80 E.
Demopolis
AL 36732
Mailing Address 1400 Afflink Pl Ste 100
Tuscaloosa
AL 35406-2289
Practice Telephone 2053669740
Enumeration Date 2007-06-26
Last Update Date 2020-08-22
Authorized Official Name STEVE L. MITCHELL (CFO)
Authorized Official Telephone 2053669740
Authorized Official Credential CFO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
Allopathic & Osteopathic Physicians
X 2085R0001X Radiology
Specialization: Radiation Oncology
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Cancer Care Center of Demopolis Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1578633566 Southeast Cancer Network, Inc Internal Medicine 2505 Us Hwy 431, Boaz, AL 35957 2006-11-08
1215007273 Southeast Cancer Network, Inc Internal Medicine 3500 Hwy 78 East, Jasper, AL 35501 2006-11-08
1063581536 Southeast Cancer Network, Inc Internal Medicine 171 Caraway Dr, Winfield, AL 35594-5067 2006-11-07
1790854255 Southeast Cancer Network, Inc Internal Medicine 22281 Us Highway 72, Ste B, Athens, AL 35613-2600 2006-11-07
1013140904 Southeast Cancer Network, Inc Internal Medicine 1758 Park Pl, Suite 301, Montgomery, AL 36106-1127 2009-08-26
1245472356 Southeast Cancer Network, Inc Internal Medicine 171 Town Center Dr, Suite Mps-6, Anniston, AL 36205-4101 2009-04-03
1295807857 Southeast Cancer Network, Inc Internal Medicine 1410 Mcfarland Blvd N, Tuscaloosa, AL 35406-2209 2006-11-15
1235208778 Southeast Cancer Network, Inc Internal Medicine 1024 1st St N, Alabaster, AL 35007-8703 2006-11-07
1780753418 Southeast Cancer Network, Inc Internal Medicine 300 Saint Lukes Dr, Montgomery, AL 36117-7102 2006-11-07
1255400834 Southeast Cancer Network, Inc Internal Medicine 2055 E South Blvd, Ste 202, Montgomery, AL 36116-2001 2006-11-07

Office Location

Street Address 105 HIGHWAY 80 E.
City DEMOPOLIS
State AL
Zip Code 36732

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790336196 Preferred Eye Care LLC Optometrist 931 Highway 80 West, Suite A, Demopolis, AL 36732 2019-09-26
1215454517 Braxton Senior Care Day Training/Habilitation Specialist 307 South Cherry Avenue, Demopolis, AL 36732 2017-08-28
1699206060 Jamie Lynn Tucker Pharmacist 1107 Lillian Lane, Demopolis, AL 36732 2017-03-27
1578717021 Sheila Bouler Pfaffman Counselor 409 North Walnut Avenue, Demopolis, AL 36732 2008-11-11
1720102387 Drs. Ketcham and Dismukes Durable Medical Equipment & Medical Supplies 202 Hwy 80 E, Demopolis, AL 36732 2007-03-19
1942356472 Dana Eddins Speech-Language Pathologist 1400 Herbert St, Demopolis, AL 36732 2007-01-26
1083785182 Mary Juanita Shakes Social Worker 205 Herbert Street, Demopolis, AL 36732 2006-11-11
1114006848 Rural Health Medical Program, Inc Clinic/Center 1502 Highway 80 East, Unit A, Demopolis, AL 36732 2006-11-03
1518051788 Judy Cooke Travis Emergency Medicine 123 East Capitol Street, Demopolis, AL 36732 2006-10-03
1770686412 Alabama Cvs Pharmacy, L.L.C. Pharmacy 312 Hwy 80 East, Demopolis, AL 36732 2006-09-07
Find all providers in zip 36732

Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447210745 Mathew Miceli Internal Medicine 105 Us Highway 80 E, Demopolis, AL 36732-3605 2006-03-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1801211958 Antonio Di Stasi Internal Medicine 1802 6th Ave S # Np255, Birmingham, AL 35233-1932 2014-02-26
1417398033 Rehan Ajmal Sarmad Internal Medicine 625 19th Street South Birmingham, Birmingham, AL 35249 2013-07-11
1336409838 Marshall Medical Center South Medical Oncology Services Internal Medicine 2505 U. S. Highway 431, Boaz, AL 35957-9999 2012-05-18
1548550833 John Richard Nicholson IIi Internal Medicine 201 Sivley Rd Sw Ste 200, Huntsville, AL 35801-5177 2011-04-08
1093018681 Shelby-chilton Hematology and Oncology LLC Internal Medicine 644 2nd St Ne Ste 202, Alabaster, AL 35007-8823 2010-12-21
1003122573 Amitkumar Mehta Internal Medicine 1720 2nd Ave S # Np2540t, Birmingham, AL 35294-3528 2010-08-23
1447579644 Alabama Cancer Care, LLC Internal Medicine 171 Town Center Dr Ste 6, Anniston, AL 36205 2010-05-27
1033443775 Hematology & Oncology Associates of Alabama Internal Medicine 339 Walker Chapel Plaza, Suite 109, Fultondale, AL 35068 2009-09-29
1831350198 David James Mooney Internal Medicine 513 Brookwood Blvd Ste 275, Birmingham, AL 35209-6806 2008-06-19
1578755815 Oncology Specialties, PC Internal Medicine 310 8th Ave Se, Decatur, AL 35601 2007-08-10
Find all providers with the same taxonomy

Competitor

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City DEMOPOLIS
Zip Code 36732

Improve Information

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Dataset Information

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.

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