Provider Demographics
NPI:1003878232
Name:KP ONCOLOGY LLP
Entity Type:Organization
Organization Name:KP ONCOLOGY LLP
Other - Org Name:COLUMBIA COUNTY CANCER CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:KARP
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:570-387-9020
Mailing Address - Street 1:1201 GRAMPIAN BLVD
Mailing Address - Street 2:STE 3A
Mailing Address - City:WILLIAMSPORT
Mailing Address - State:PA
Mailing Address - Zip Code:17701-1900
Mailing Address - Country:US
Mailing Address - Phone:570-322-4025
Mailing Address - Fax:570-322-6403
Practice Address - Street 1:18 SEIPLE DR
Practice Address - Street 2:
Practice Address - City:BLOOMSBURG
Practice Address - State:PA
Practice Address - Zip Code:17815-7755
Practice Address - Country:US
Practice Address - Phone:570-387-9020
Practice Address - Fax:570-387-9021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-04
Last Update Date:2014-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
020420800OtherFEDERAL BLACK LUNG PROGRA
PA101158498Medicaid
PA080290Medicare PIN