National Provider Identifier Database

PROGRESSIVE RADIATION ONCOLOGY PC
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.


Contact Information

PROGRESSIVE RADIATION ONCOLOGY, PC
2020 MERIDIAN ST
SUITE 100
ANDERSON, IN46016-4346
Phone: 317-863-2593
Fax: 317-863-2602
Website:
Specialty Taxonomy Code
* Radiation Oncology 2085R0001X

* Indicates primary specialty

NPI Profile & details for PROGRESSIVE RADIATION ONCOLOGY, PC

NPI Number 1801956867
Legal business name
LBN
PROGRESSIVE RADIATION ONCOLOGY, PC
Authorized official DARREL ROSS - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 12/11/2006
Last updated 05/27/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • IN License #: 01060645
  • IN Medicaid: 200371400
  • IN Medicaid: 200868590A
  • IN Other: 000000523109 ANTHEM GROUP #
  • IN Other: 1801956867 GROUP NPI
  • IN Other: 1679668735 INDIVIDUAL NPI

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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