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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 Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for PROGRESSIVE RADIATION ONCOLOGY, PC

NPI # 1801956867
LBN Legal business name PROGRESSIVE RADIATION ONCOLOGY, PC
Authorized official DARREL ROSS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/11/2006
Last updated 05/27/2008 - About 18 years ago
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 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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