OWENSBORO CANCER CENTER PSC (NPI# 1730231887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730231887 |
| Entity Type | Organization |
| Organization Name | OWENSBORO CANCER CENTER PSC |
| Practice Address |
1020 Breckenridge St Ste 200 Owensboro KY 42303-1784 |
| Mailing Address |
Po Box 1784 Owensboro KY 42302-1784 |
| Practice Telephone | 2706881900 |
| Practice Fax Number | 2706881905 |
| Mailing Telephone | 2706881900 |
| Mailing Fax Number | 2706881905 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2009-05-05 |
| Authorized Official Name | DATTATRAYA S PRAJAPATI (PRINCIPAL OFFICER) |
| Authorized Official Telephone | 2706881900 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
21298 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | KY LICENSE | 36564 | 01 |
| KY | ANTHEM | 000000196488 | 01 |
| KY | ANTHEM | 000000027405 | 01 |
| KY | 65946162 | 05 |
| Street Address |
1020 BRECKENRIDGE ST STE 200 |
| City | OWENSBORO |
| State | KY |
| Zip Code | 42303-1784 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659469476 | Samuel Ryan Faught | Radiology | 1020 Breckenridge St, Owensboro, KY 42303-0803 | 2006-10-10 |
| 1770963613 | Owensboro Health Medical Group Inc | Nurse Practitioner | 1020 Breckenridge St, Owensboro, KY 42303-0803 | 2015-06-05 |
| 1437385770 | Ryan J Abel | Radiology | 1020 Breckenridge St, Owensboro, KY 42303-0803 | 2009-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881218121 | Strive Health Ky LLC | Clinic/Center | 4511 Springhill Road, Owensboro, KY 42303 | 2020-06-02 |
| 1952921991 | Carl P Lewis | Pharmacist | Nation's Medicines, 3000 Alvey Park Drive West, Owensboro, KY 42303 | 2020-04-20 |
| 1386292621 | Alexandra Freudenberg | Occupational Therapist | 2605 New Hartford Road, Owensboro, KY 42303 | 2019-08-29 |
| 1457843815 | Deaconess Clinic Inc | Family Medicine | 2710 Heartland Crossing Blvd, Owensboro, KY 42303 | 2018-06-01 |
| 1225525520 | Claudia Abrams | Nurse Practitioner | 3245 Mount Moriah Ave Ste 10, Owensboro, KY 42303 | 2018-04-23 |
| 1245751965 | Play Works Pediatric Therapy | Early Intervention Provider Agency | 4551 Indian Creek Loop, Owensboro, KY 42303 | 2017-07-03 |
| 1518490952 | Sue Lindsey | Social Worker | 1100 Walnut St., Owensboro, KY 42303 | 2017-04-04 |
| 1972034163 | Megan Nichole Meredith | Counselor | 2707 Breckenridge Street, Suite 4, Owensboro, KY 42303 | 2017-03-21 |
| 1275077786 | Physicians Affiliated Care, Psc | Family Medicine | 2710 Heartland Crossings, Suite B, Owensboro, KY 42303 | 2016-12-19 |
| 1790168516 | Kelli D. Brown | Nurse Practitioner | 2816 Veach Rd Ste 403, Owensboro, KY 42303 | 2015-06-30 |
| Find all providers in zip 42303 | ||||
| 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 |
|---|---|---|---|---|
| 1184671166 | Richard Louis Gruenewald | Internal Medicine | 3638 Treehaven Bnd, Owensboro, KY 42303-1785 | 2006-05-27 |
| 1912996661 | Dattatraya S Prajapati | Internal Medicine | 1000 Breckenridge St, Suite 400, Owensboro, KY 42303-0839 | 2005-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679801435 | Peng Wang | Internal Medicine | 800 Rose St # Cc401b, Div of Medical Oncology, Lexington, KY 40536-0093 | 2009-12-04 |
| 1619112042 | Mohammed Aijaz Shareef | Internal Medicine | 2501 Kentucky Ave Ste 201, Paducah, KY 42003-3813 | 2008-12-15 |
| 1720176522 | Hematology Oncology Physicians East Kentucky Psc | Internal Medicine | 2737 North Laurel Road, London, KY 40741 | 2006-10-10 |
| 1326132457 | Ralph G. Zinner | Internal Medicine | Head, Neck and Respiratory Clinic, 800 Rose Street, 2nd Floor, Lexington, KY 40536-0293 | 2006-10-03 |
| 1922520808 | 21st Century Oncology of Kentucky LLC | Internal Medicine | 1460 Bluegrass Ave, Louisville, KY 40215-1272 | 2017-07-12 |
| 1366715435 | Baptist Physicians Lexington, Inc | Internal Medicine | 1780 Nicholasville Rd, Suite 101, Lexington, KY 40503-1400 | 2012-02-20 |
| 1831462548 | Oncology Hematology Care, Inc. | Internal Medicine | 238 Barnes Rd, Williamstown, KY 41097-9482 | 2012-02-13 |
| 1932476330 | Saint Joseph Health System | Internal Medicine | 701 Bob O Link Dr, Ste 120, Lexington, KY 40504-3759 | 2011-11-30 |
| 1730490152 | Kamlesh Prem Sajnani | Internal Medicine | 37 Ball Park Rd, Harlan, KY 40831-1701 | 2010-06-30 |
| 1013141431 | Kent Edward Taylor | Internal Medicine | 1140 Lexington Rd, Suite 202, Georgetown, KY 40324-9330 | 2009-05-13 |
| 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.