CENTURY CANCER CENTERS COLORADO SPRINGS, PLLC (NPI# 1821448689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821448689 |
| Entity Type | Organization |
| Organization Name | CENTURY CANCER CENTERS COLORADO SPRINGS, PLLC |
| Practice Address |
1644 Medical Center Pt #100 Colorado Springs CO 80907-5764 |
| Mailing Address |
2865 E Coast Hwy Suite 210 Corona Del Mar CA 92625-2236 |
| Practice Telephone | 7192475500 |
| Practice Fax Number | 7192475437 |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2016-06-13 |
| Authorized Official Name | MR. SANJAY MEHTA (OWNER) |
| Authorized Official Telephone | 7135896879 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
CO | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Century Cancer Centers Colorado Springs, PLLC | 1644 Medical Center Point, Colorado Springs, CO 80907-5760 |
| Street Address |
1644 MEDICAL CENTER PT #100 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80907-5764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972505220 | Brett R Jepson | Urology | 1644 Medical Center Pt, Suite 200, Colorado Springs, CO 80907-5764 | 2005-06-01 |
| 1649670282 | Century Radiation Oncology Colorado Springs Pllc | Radiology | 1644 Medical Center Pt, Suite 100, Colorado Springs, CO 80907-5760 | 2014-09-02 |
| 1831520584 | Joanna Vongchant Jones | Nurse Practitioner | 1644 Medical Center Pt, Suite 200, Colorado Springs, CO 80907-5764 | 2013-12-06 |
| 1992014179 | Gerald J Pise, Md, PC | Specialist | 1644 Medical Center Pt, Colorado Springs, CO 80907-5760 | 2010-10-05 |
| 1356305114 | Urological Associates P.C. | Urology | 1644 Medical Center Pt, Suite 200, Colorado Springs, CO 80907 | 2006-04-17 |
| 1033197231 | Barry Lee Gardner | Radiology | 1644 Medical Center Pt, Suite 100, Colorado Springs, CO 80907-5760 | 2006-01-06 |
| 1609874957 | Elliot J Cohn | Urology | 1644 Medical Center Pt, Suite 200, Colorado Springs, CO 80907 | 2005-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871124057 | Margaret Elizabeth Macnabb | Occupational Therapist | 955 West Fillmore Street, Colorado Springs, CO 80907 | 2020-01-28 |
| 1598300394 | Eric L Peterson | Counselor | 4570 Hilton Pwky, Colorado Springs, CO 80907 | 2019-11-15 |
| 1669020160 | Vcphcs Xii, LLC | Clinic/Center | 4157-4159 Centennial Blvd, Colorado Springs, CO 80907 | 2019-08-28 |
| 1366907123 | Natural Healthcare, LLC | Chiropractor | 3030 N Hancock Ave Suite D, Colorado Springs, CO 80907 | 2019-02-06 |
| 1063981777 | Samuel Ray Porterfield | Social Worker | Pfc Floyd K. Lindstrom Outpatient Clinic, 3141 Centennial Blvd., Colorado Springs, CO 80907 | 2018-11-26 |
| 1982170114 | A Physicians Home Care | Home Health | 905 W Garden of The Gods Rd Suite F, Colorado Springs, CO 80907 | 2018-10-15 |
| 1689196180 | Reena Annetta Manka | Counselor | 888 Garden of The Gods, 150, Colorado Springs, CO 80907 | 2017-07-17 |
| 1356870356 | Solaris Hc Co Inc | Hospice Care, Community Based | 1045 Garden of Gods Rd, Colorado Springs, CO 80907 | 2017-06-05 |
| 1649704826 | Colorado Springs Urological Associates Pllc | Urology | 1644 Medical Center Point, Suite 200, Colorado Springs, CO 80907 | 2017-04-14 |
| 1194274704 | Sarah Lynn Hartman | Dietitian, Registered | 3207 North Academy Blvd, Colorado, CO 80907 | 2016-09-23 |
| Find all providers in zip 80907 | ||||
| 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 |
|---|---|---|---|---|
| 1700490455 | Poudre Valley Medical Group, LLC | Radiology | 4080 Briargate Parkway, Colorado Springs, CO 80920 | 2020-09-01 |
| 1104439322 | Poudre Valley Medical Group, LLC | Radiology | 525 Bob Peters Grv Ste 100, Colorado Springs, CO 80909-4533 | 2020-08-27 |
| 1093005738 | Timothy Victor Waxweiler | Radiology | 525 Bob Peters Grv, Radiation Oncology, Colorado Springs, CO 80950-0001 | 2011-04-14 |
| 1598912735 | Jeffrey R Olsen | Radiology | 535 Peters Grove Suite 100, Colorado Springs, CO 80909-4533 | 2008-08-19 |
| 1932175155 | Alan Travis Monroe | Radiology | 2222 N. Nevada Ave., Suite Cc-101, Colorado Springs, CO 80907 | 2006-02-27 |
| 1184604266 | Radiation Oncology, P.C. | Radiology | 1425 N Union Blvd, Suite 202, Colorado Springs, CO 80909-2871 | 2006-01-17 |
| 1649670282 | Century Radiation Oncology Colorado Springs Pllc | Radiology | 1644 Medical Center Pt, Suite 100, Colorado Springs, CO 80907-5760 | 2014-09-02 |
| 1407261290 | Kaleigh Doke | Radiology | 525 Bob Peters Grv, Colorado Springs, CO 80909-4533 | 2014-06-30 |
| 1679501456 | Andrew Scott Tanner | Radiology | 2222 N Nevada Ave, Suite Cc-101, Colorado Springs, CO 80907-6819 | 2006-06-29 |
| 1083694137 | John E Schiller | Radiology | 2222 N Nevada Ave, Suite 101, Colorado Springs, CO 80907-6831 | 2006-01-17 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80907 |
Please comment or provide details below to improve the information on CENTURY CANCER CENTERS COLORADO SPRINGS, PLLC.
| 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.