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CANCER CARE SPECIALISTS P A NPI 1710922315


NPI Information

NPI: 1710922315
Provider Name: CANCER CARE SPECIALISTS P A
Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
225 E JACKSON AVE
JONESBORO, AR
ZIP 72401
Phone: (870) 972-4510
Get Directions

CANCER CARE SPECIALISTS P A is a radiation oncology radiology in Jonesboro, AR. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. CANCER CARE SPECIALISTS P A NPI is 1710922315. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

225 E JACKSON AVE
JONESBORO, AR
ZIP 72401-119
Phone: (870) 972-4510

The provider's authorized official is John Lynch .
The authorized official title is D.o. and has the following contact phone number (870) 972-4510.

The enumeration date for this NPI number is 6/18/2006 and was last updated on 1/30/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0001XRadiologyRadiation OncologyE2457ARKANSASNo
22085R0001XRadiologyRadiation OncologyR4434ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CD2585OTHERARKANSASRAILROAD MEDICARE
25F601MEDICARE PINARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.