MICHIGAN HEMATOLOGY & ONCOLOGY INSTITUTE, P.C. (NPI# 1255432324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255432324 |
| Entity Type | Organization |
| Organization Name | MICHIGAN HEMATOLOGY & ONCOLOGY INSTITUTE, P.C. |
| Practice Address |
15750 Northline Rd Southgate MI 48195-2378 |
| Practice Telephone | 7342837511 |
| Practice Fax Number | 7342836880 |
| Mailing Telephone | 7342837511 |
| Mailing Fax Number | 7342836880 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MAYUR PATEL (PRESIDENT) |
| Authorized Official Telephone | 7342837511 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4695453 | 05 | |
| US RAILROAD RETIREMENT | DB9621 | 01 | |
| MI | 4695462 | 05 |
| Street Address |
15750 NORTHLINE RD |
| City | SOUTHGATE |
| State | MI |
| Zip Code | 48195-2378 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649770652 | Valeria Concetta Smith | Nurse Practitioner | 15750 Northline Rd, Southgate, MI 48195-2378 | 2018-02-16 |
| 1982939732 | Kelli Lynn Frost | Physician Assistant | 15750 Northline Rd, Southgate, MI 48195-2378 | 2009-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780206656 | Destiny D Harris | Social Worker | 14799, Southgate, MI 48195 | 2020-05-13 |
| 1285102368 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 16256 Fort St, Southgate, MI 48195 | 2018-11-07 |
| 1003382979 | Saran Charisse Watts | Case Manager/Care Coordinator | 31101 Allen Rd, Building 5, Southgate, MI 48195 | 2018-10-18 |
| 1255824025 | Kiesta Janell Lindsey | Social Worker | 13101 Allen Rd Bldg 4-f, Southgate, MI 48195 | 2018-06-07 |
| 1417473224 | Suzette Michele Watson | Nurse Practitioner | 14319 Dix-toledo, Southgate, MI 48195 | 2017-08-15 |
| 1275069486 | Liza Du Plessis | Student in an Organized Health Care Education/Training Program | 13111 Allen Road, Southgate, MI 48195 | 2017-05-08 |
| 1497290456 | Beaumont Health | Clinic/Center | 15777 Northline, Southgate, MI 48195 | 2016-12-30 |
| 1184172876 | Felicia Wilson | Licensed Practical Nurse | 15771 Wildemere, Southgate, MI 48195 | 2016-09-12 |
| 1225487978 | Stacey Petrick-strickland | Technician, Other | 12189 Agnes, Southgate, MI 48195 | 2016-06-03 |
| 1205298486 | Ashley Francis | Hearing Instrument Specialist | 18800 Eureka Rd., Southgate, MICHIGAN 48195 | 2016-03-25 |
| Find all providers in zip 48195 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609118413 | Muhyi Al-sarraf | Internal Medicine | 2810 Birchwood Ct, Bloomfield Hills, MI 48302-0900 | 2013-03-19 |
| 1932431202 | Ernie P. Balcueva Md PC | Internal Medicine | 800 Cooper Ave Ste 10, Saginaw, MI 48602-5373 | 2010-02-11 |
| 1063741536 | John Raymond Schneider | Internal Medicine | 66 Oxford Rd, Grosse Pointe, MI 48236-1829 | 2009-12-13 |
| 1386875607 | Richard Adam Messmann | Internal Medicine | 5912 Hartford Way, Brighton, MI 48116-7810 | 2009-08-04 |
| 1093949745 | Erin Frances Cobain | Internal Medicine | 1500 E Medical Center Dr Fl B1, Ann Arbor, MI 48109-5000 | 2009-05-11 |
| 1164694584 | Alexandra Krot | Internal Medicine | 169 Bassett Place, Bloomfield Hills, MI 48301 | 2008-03-26 |
| 1366645806 | Mcrmc Professional Oncology Billing LLC | Internal Medicine | 1080 Harrington Blvd, Suite 201, Mount Clemens, MI 48043-2967 | 2007-06-11 |
| 1417160508 | Burton F Vanderlaan | Internal Medicine | 5769 Charolais Dr Sw, Wyoming, MI 49418-8703 | 2007-05-07 |
| 1639262751 | Mayur Patel | Internal Medicine | 19725 Allen Rd Ste 101, Brownstown Twp, MI 48183-1090 | 2006-10-02 |
| 1588678155 | Paul T Porter | Internal Medicine | 19229 Mack Ave Ste 24, Grosse Pointe Woods, MI 48236-2857 | 2006-07-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.