Provider Demographics
NPI:1326251075
Name:NORTH CAROLINA ONCOLOGY ASSOCIATES
Entity Type:Organization
Organization Name:NORTH CAROLINA ONCOLOGY ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STATE BUSINESS OFFICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:RENE
Authorized Official - Last Name:FRANCIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-829-4450
Mailing Address - Street 1:4000 WESTCHASE BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27607-6863
Mailing Address - Country:US
Mailing Address - Phone:919-829-4450
Mailing Address - Fax:919-829-4486
Practice Address - Street 1:4101 MACON POND ROAD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607-6319
Practice Address - Country:US
Practice Address - Phone:919-829-4450
Practice Address - Fax:919-829-4486
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Multi-Specialty
No2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC890231NMedicaid
NC2319414Medicare PIN
NC2319414BMedicare PIN
NC2319414CMedicare PIN
NC890231NMedicaid