CANCER CARE GROUP, P.C. (NPI# 1629247028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629247028 |
| Entity Type | Organization |
| Organization Name | CANCER CARE GROUP, P.C. |
| Practice Address |
315 W Old Key Dr Suite 140 Peru IN 46970-9057 |
| Mailing Address |
6100 W 96th St Suite 125 Indianapolis IN 46278-6005 |
| Practice Telephone | 7654722124 |
| Practice Fax Number | 7654722137 |
| Mailing Telephone | 3177151800 |
| Mailing Fax Number | 3177156200 |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2008-02-29 |
| Authorized Official Name | DR. 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 |
50004183A | IN | 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 |
| 1538338934 | Cancer Care Group, P.C. | Radiology | 24 Six Pine Ranch Rd, Batesville, IN 47006-9022 | 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 |
315 W OLD KEY DR SUITE 140 |
| City | PERU |
| State | IN |
| Zip Code | 46970-9057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689602062 | William Charles Hoover | Family Medicine | 315 W Old Key Dr, Peru, IN 46970-9057 | 2006-06-28 |
| 1346621000 | Lisa Ann Jones | Nurse Practitioner | 315 W Old Key Dr, Peru, IN 46970-9057 | 2015-06-17 |
| 1780988428 | Elizabeth A. Jernagan | Nurse Practitioner | 315 W Old Key Dr, Peru, IN 46970-9057 | 2011-01-10 |
| 1558661744 | Doris M Carden | Nurse Practitioner | 315 W Old Key Dr, Peru, IN 46970-9057 | 2010-10-22 |
| 1043525009 | Fort Wayne Orthopedics, LLC | Orthopaedic Surgery | 315 W Old Key Dr, Suite 140, Peru, IN 46970-9058 | 2010-08-16 |
| 1003140419 | Alliance Healthcare Services Inc | Clinic/Center | 315 W Old Key Dr, Peru, IN 46970-9057 | 2009-10-01 |
| 1730266602 | Lavonne Eddy | Nurse Practitioner | 315 W Old Key Dr, Peru, IN 46970-9057 | 2006-10-31 |
| 1255418125 | Lloyd Lorenz | Family Medicine | 315 W Old Key Dr, Peru, IN 46970-9057 | 2006-10-31 |
| 1134206014 | Michael Mull | Family Medicine | 315 W Old Key Dr, Peru, IN 46970-9057 | 2006-10-31 |
| 1013094994 | Heather Weber | Nurse Practitioner | 315 W Old Key Dr, Peru, IN 46970-9057 | 2006-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447896311 | Christina M Van Meter | Pharmacist | 930 W Main St., Peru, IN 46970 | 2019-11-26 |
| 1821554585 | Thomas Gilbert Reaves | Counselor | 5851 S. Us-31, Lot 47, Peru, IN 46970 | 2019-02-18 |
| 1104154863 | American Foot and Ankle Inc | Durable Medical Equipment & Medical Supplies | 632 West Main Street, Peru, IN 46970 | 2009-11-18 |
| 1629208251 | Rafik Farag | Family Medicine | 1694 W Logansport Rd., Community Health Center of Miami County, Peru, IN 46970 | 2009-07-16 |
| 1508076050 | Peggy L Wert | Occupational Therapy Assistant | 850 Matador Drive, Peru, IN 46970 | 2007-05-23 |
| 1972690634 | Sherif Elmasry | Pediatrics | 655 N Broadway, Peru, IN 46970 | 2006-10-06 |
| 1548357320 | Belinda Diane Stonger | Hearing Instrument Specialist | 1 S. Broadway, Peru, IN 46970 | 2006-10-05 |
| 1134214083 | American Health Network of Indiana, LLC | Durable Medical Equipment & Medical Supplies | 315 West Old Key Drive, Peru, IN 46970 | 2006-10-04 |
| 1710082409 | Thomas J Guthrie | Dentist | 5 West Logan Street, Peru, IN 46970 | 2006-09-14 |
| 1750921938 | Christina Russell | Counselor | 1000 N Broadway Ste A, Peru, IN 46970 | 2020-01-15 |
| Find all providers in zip 46970 | ||||
| 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 |
|---|---|---|---|---|
| 1194994582 | Cancer Care Group, P.C. | Radiology | 275 W 12th St, Peru, IN 46970-1638 | 2008-02-29 |
| 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.