CANCER CARE CENTER PC (NPI# 1861797920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861797920 |
| Entity Type | Organization |
| Organization Name | CANCER CARE CENTER PC |
| Practice Address |
1310 14th Ave Se Decatur AL 35601-4347 |
| Practice Telephone | 2563535151 |
| Practice Fax Number | 2563519915 |
| Mailing Telephone | 2563535151 |
| Mailing Fax Number | 2563519915 |
| Enumeration Date | 2011-01-21 |
| Last Update Date | 2011-03-09 |
| Authorized Official Name | NAVEEN LOBO (PRESIDENT) |
| Authorized Official Telephone | 2563535151 |
| 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 |
25921 | AL | Allopathic & Osteopathic Physicians |
| Street Address |
1310 14TH AVE SE |
| City | DECATUR |
| State | AL |
| Zip Code | 35601-4347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023025434 | Naveen Thomas Lobo | Internal Medicine | 1310 14th Ave Se, Decatur, AL 35601-4347 | 2006-08-01 |
| 1861019697 | Esther Miranda Hambrick | Nurse Practitioner | 1310 14th Ave Se, Decatur, AL 35601-4347 | 2020-06-27 |
| 1417425257 | Jenny Lee Mink | Registered Nurse | 1310 14th Ave Se, Decatur, AL 35601-4347 | 2018-11-09 |
| 1083094627 | Elizabeth Clark | Nurse Practitioner | 1310 14th Ave Se, Decatur, AL 35601-4347 | 2015-06-08 |
| 1598145138 | Rachel Kelly | Nurse Practitioner | 1310 14th Ave Se, Decatur, AL 35601-4347 | 2015-06-08 |
| 1831588748 | Elizabeth C Elmore | Nurse Practitioner | 1310 14th Ave Se, Decatur, AL 35601-4347 | 2015-01-15 |
| 1245404847 | Julie M Sexton | Nurse Practitioner | 1310 14th Ave Se, Decatur, AL 35601-4347 | 2008-04-15 |
| 1154501955 | Lise Ann Griffin | Registered Nurse | 1310 14th Ave Se, Decatur, AL 35601-4347 | 2007-11-08 |
| 1003012055 | Michael A. Henngian, M.d., P.c | Internal Medicine | 1310 14th Ave Se, Decatur, AL 35601-4347 | 2007-06-26 |
| 1881712537 | Cheryl D Watrous | Dietitian, Registered | 1310 14th Ave Se, Decatur, AL 35601-4347 | 2007-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000679 | Monica Dawn Ross | Counselor | 106 Lee St. Ne, Suite C, Decatur, AL 35601 | 2019-02-23 |
| 1063950319 | Samantha Elizabeth Pickett | Nurse Practitioner | 1115 Beltline Rd Se, Ste 400, Decatur, AL 35601 | 2017-02-07 |
| 1497208250 | Beronica Goodwin | Home Health Aide | 1102b Suite #2 4th Ave Se, Decatur, AL 35601 | 2016-07-28 |
| 1770957177 | Xochitl Dupre | Obstetrics & Gynecology | 1874 Beltline Road Sw, Suite 105, Decatur, AL 35601 | 2015-11-23 |
| 1104224708 | River City Psychiatry, Inc. | Community/Behavioral Health | 115 Johnston Street, Se, Suite 202, Decatur, AL 35601 | 2014-12-12 |
| 1760882690 | Derrick Aaron Randolph | Registered Nurse | 1207 7th St S.e., Decatur/morgan Hospital - Parkway Campus, Decatur, GA 35601 | 2014-08-28 |
| 1427465434 | Martha Read | Family Medicine | 2208 Danville Rd Sw Ste A, Decatur, AL 35601 | 2014-07-22 |
| 1205242948 | Pure Heart Home Care of Alabama, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 107 B 14th Street Sw, Decatur, AL 35601 | 2014-07-02 |
| 1720492242 | Christopher John Phillips | Emergency Medicine | 1201 7th Street Se, Decatur, AL 35601 | 2014-06-12 |
| 1366794711 | Complete Dental Decatur LLC | Dentist | 1241 Point Mallard Parkway, Suite. 105, Decatur, AL 35601 | 2012-10-10 |
| Find all providers in zip 35601 | ||||
| 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 |
|---|---|---|---|---|
| 1023025434 | Naveen Thomas Lobo | Internal Medicine | 1310 14th Ave Se, Decatur, AL 35601-4347 | 2006-08-01 |
| 1992774459 | James L Wade IIi | Internal Medicine | 210 W. Mckinley Ave, Ste 1, Decatur, IL 62526 | 2006-03-16 |
| 1720200504 | Haig Yardumian | Internal Medicine | 150 E Ponce De Leon Ave, Suite 120, Decatur, GA 30030-2543 | 2007-05-02 |
| 1801911334 | Hagop Youssoufian | Internal Medicine | 150 E Ponce De Leon Ave, Suite 120, Decatur, GA 30030-2543 | 2007-03-21 |
| 1245309541 | Emiliana Sandiego | Internal Medicine | 150 E Ponce De Leon Ave, Suite 220, Decatur, GA 30030-2543 | 2006-11-08 |
| 1073604245 | Zeba Aziz | Internal Medicine | 150 E Ponce De Leon Ave, Suite 220, Decatur, GA 30030-2543 | 2006-09-27 |
| 1790748119 | Edward C Elliott II | Internal Medicine | 210 W. Mckinley Ave, Ste 1, Decatur, IL 62526 | 2006-04-07 |
| 1326007782 | Mario R Velasco | Internal Medicine | 210 W Mckinley Ave, Suite 1, Decatur, IL 62526 | 2006-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609890474 | Elquis M. Castillo | Internal Medicine | 705 Goodyear Ave, Gadsden, AL 35903-1156 | 2006-07-26 |
| 1295773125 | Laura Christopher Bunch | Internal Medicine | 4500 Montevallo Rd, Suite E101, Irondale, AL 35210-3129 | 2006-06-03 |
| 1700837614 | Hassan M Fathallah-shaykh | Internal Medicine | University of Alabama At Birmingham, Fot 1020, 1530 3rd Ave S, Birmingham, AL 35294-0001 | 2006-05-15 |
| 1891756805 | Karl Tracy Hagler | Internal Medicine | 101 Dr W H Blake Jr Dr, Muscle Shoals, AL 35661-2152 | 2006-03-29 |
| 1992771448 | Ariel Anguiano | Internal Medicine | 801 University Blvd E, Tuscaloosa, AL 35401-2029 | 2006-02-24 |
| 1083693154 | Marshall T Schreeder | Internal Medicine | 3601 Cci Dr Nw, Huntsville, AL 35805-2606 | 2006-01-17 |
| 1821084534 | Dinesh C Parmar | Internal Medicine | 355 S 2nd St, Gadsden, AL 35901-5202 | 2005-09-27 |
| 1619960507 | Patricia K Lillis | Internal Medicine | 2148 Walbash Dr, Montgomery, AL 36116-1383 | 2005-08-25 |
| 1942512637 | Sachin G Pai | Internal Medicine | 1660 Spring Hill Ave, Mobile, AL 36604-1405 | 2010-07-09 |
| 1962652180 | Montgomery Cancer Center, LLC | Internal Medicine | 1023 Medical Center Pkwy, Suite 110, Selma, AL 36701-6780 | 2008-09-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CANCER CARE CENTER PC.
| 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.