UNIVERSITY HEMATOLOGY ONCOLOGY GROUP INC. (NPI# 1275729550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275729550 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY HEMATOLOGY ONCOLOGY GROUP INC. |
| Practice Address |
2210 Barron Rd Suite 117 Poplar Bluff MO 63901-1908 |
| Mailing Address |
4921 Parkview Pl Suite 14c Saint Louis MO 63110-1032 |
| Practice Telephone | 5737789136 |
| Practice Fax Number | 5737789172 |
| Mailing Telephone | 3142907501 |
| Mailing Fax Number | 3142907575 |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2009-08-26 |
| Authorized Official Name | RAZA M SYED (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 3142907501 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
R3981 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 505740506 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962698837 | University Hematology Oncology Group Inc. | Internal Medicine | 1052 Martin Luther King Dr, Suite 2, Centralia, IL 62801-3002 | 2007-09-24 |
| Street Address |
2210 BARRON RD SUITE 117 |
| City | POPLAR BLUFF |
| State | MO |
| Zip Code | 63901-1908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750370748 | James William Gieselmann | Surgery | 2210 Barron Rd, Suite 122, Poplar Bluff, MO 63901-1908 | 2005-10-21 |
| 1952866139 | Saint Francis Medical Center | Psychologist | 2210 Barron Rd, Poplar Bluff, MO 63901-1908 | 2019-02-01 |
| 1457881963 | Poplar Bluff Pediatric Assoc Ll | Clinic/Center | 2210 Barron Rd, Poplar Bluff, MO 63901-1908 | 2017-06-16 |
| 1861944415 | Amber Rene Maples | Nurse Practitioner | 2210 Barron Rd, 120, Poplar Bluff, MO 63901-1908 | 2016-10-31 |
| 1902279110 | Gibbs Wound Care LLC | Nurse Practitioner | 2210 Barron Rd, Room 205, Poplar Bluff, MO 63901-1908 | 2015-11-10 |
| 1548699077 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 2210 Barron Rd, Poplar Bluff, MO 63901-1908 | 2013-11-05 |
| 1588900344 | Key Drugs At Northwest LLC | Pharmacy | 2210 Barron Rd, Poplar Bluff, MO 63901-1908 | 2012-12-26 |
| 1780961227 | Stephane Rena Bond | Nurse Practitioner | 2210 Barron Rd, Suite 222, Poplar Bluff, MO 63901-1908 | 2011-11-11 |
| 1154650331 | Poplar Bluff Neurology Center, PC | Clinic/Center | 2210 Barron Rd, Suite 112, Poplar Bluff, MO 63901-1908 | 2009-12-16 |
| 1245364066 | Northwest Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 2210 Barron Rd, Poplar Bluff, MO 63901-1908 | 2007-03-15 |
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|---|---|---|---|---|
| 1568076701 | Alternative Sleep Solution | Dentist | 2700 Kanell Blvd., Poplar Bluff, MO 63901 | 2020-09-04 |
| 1285271239 | Front Door Wellness LLC | Physical Therapist | Front Door Wellness LLC, 5835 Quail Meadows Drive, Poplar Bluff, MO 63901 | 2019-12-09 |
| 1104470368 | Andrew Akindutire | Dentist | 3101 Oak Groove Rd., Suite 6, Poplar Bluff, MO 63901 | 2019-07-26 |
| 1780195966 | Midwest Equipment Srv Systems LLC | Technician, Pathology | 2400 Lucy Lee Parkway, Suite C, Poplar Bluff, MO 63901 | 2017-10-16 |
| 1801259387 | Richard Justin Huber | Technician, Other | 3005 Warrior Ln, Poplar Bluff, MO 63901 | 2016-04-01 |
| 1699136275 | Donja Kirkland | Recreation Therapist | 1910a Greenwood Dr., Suite D, Poplar Bluff, MO 63901 | 2016-03-10 |
| 1760866867 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 3050 Tucker Road, Poplar Bluff, MO 63901 | 2015-07-17 |
| 1407246390 | Lisa Marie Payne | Physical Therapist | 4358c Highway Pp, Poplar Bluff, MO 63901 | 2015-01-29 |
| 1700202488 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1602 W. Harper Street, Poplar Bluff, MO 63901 | 2014-03-05 |
| 1932521648 | Essential Family Healthcare, LLC | Clinic/Center | 1369 North Westwood Blvd., Poplar Bluff, MO 63901 | 2014-01-15 |
| Find all providers in zip 63901 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033536974 | Ray E Peters Do Inc | Internal Medicine | 221 Physicians Park, Poplar Bluff, MO 63901-3956 | 2014-03-27 |
| 1700021847 | Kavitha Paramanathan | Internal Medicine | 2620 N Westwood Blvd, Poplar Bluff, MO 63901-3396 | 2008-12-03 |
| 1306925565 | Ray E Peters D.o. | Internal Medicine | 2210 Barron Rd, Suite 110, Poplar Bluff, MO 63901-1908 | 2006-11-06 |
| 1750328449 | Ray E. Peters Jr. | Internal Medicine | 221 Physicians Park, Poplar Bluff, MO 63901-3956 | 2006-06-01 |
| 1326093022 | Juergen Bertram | Internal Medicine | 2210 Barron Rd, Suite 117, Poplar Bluff, MO 63901-1908 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922485986 | Alexander Tremont | Internal Medicine | 1402 S Grand Blvd Rm M260, Saint Louis, MO 63104 | 2015-04-29 |
| 1538564620 | Bader Alahmari | Internal Medicine | 660 South Euclid Avenue Campus Box 8007, St Louis, MO 63110 | 2014-10-31 |
| 1235480708 | James Michael Epstein | Internal Medicine | 12008 Heatherdane Dr, Saint Louis, MO 63131-3119 | 2012-09-25 |
| 1285920694 | Zhineng Jayson Yang | Internal Medicine | 2529 Glenn Hendren Dr Ste G30, Liberty, MO 64068-9610 | 2011-06-23 |
| 1477782092 | Tamara V Hopkins, Md, LLC | Internal Medicine | 2009 Saint Marys Blvd Ste A, Jefferson City, MO 65109-1509 | 2009-07-02 |
| 1457591463 | David Douglas Westhoff | Internal Medicine | 3605 Missouri Blvd, Jefferson City, MO 65109-7111 | 2009-03-03 |
| 1629224357 | Vinay Gupta | Internal Medicine | 110 Ne Saint Lukes Blvd Ste 500, Lees Summit, MO 64086-6075 | 2008-08-13 |
| 1942456058 | Anuj Shrestha | Internal Medicine | 2310 Holmes St Ste 500, Kansas City, MO 64108-2602 | 2008-08-09 |
| 1154580777 | Skaggs Community Hospital Association | Internal Medicine | 525 Branson Landing Blvd Ste 101, Branson, MO 65616-2052 | 2008-06-09 |
| 1326235797 | Getinet Degu Ayalew | Internal Medicine | 12277 De Paul Dr Ste 100, Bridgeton, MO 63044-2577 | 2007-10-01 |
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| City | POPLAR BLUFF |
| Zip Code | 63901 |
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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.