DR. EDMOND A. BENDALY


Address: 831 Theatre Drive, Marion, IN 46952-1701
Phone: 7656607800

DR. EDMOND A. BENDALY (NPI# 1285835652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285835652
Entity Type Individual
Full Name DR. EDMOND A. BENDALY
Credential M.D.
Practice Address 831 Theatre Drive
Marion
IN 46952-1701
Mailing Address 330 North Wabash
Suite G20
Marion
IN 46952-2600
Practice Telephone 7656607800
Practice Fax Number 7656624470
Mailing Telephone 7656624133
Mailing Fax Number 7656517313
Enumeration Date 2007-05-31
Last Update Date 2020-10-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
P51816 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN ANTHEM 000000620997 01
IN 200948330 05

Office Location

Street Address 831 THEATRE DRIVE
City MARION
State IN
Zip Code 46952-1701

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982685533 Rathipriya Mahendran Internal Medicine 831 Theatre Drive, Marion, IN 46952-4470 2005-11-10

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1669979936 Sheila Ann Johnson Counselor 315 S. Norton Ave, Marion, IN 46952 2018-04-12
1679070957 Marissa Lynn Castillo Counselor 315 S Norton Avenue, Marion, IN 46952 2018-04-12
1326545609 Eumalla Lampkins Case Manager/Care Coordinator 315 South Norton Avenue, Marion, IN 46952 2018-04-12
1285011650 Forefront Dermatology, S.c. Dermatology 330 N Wabash Ave Ste 360, Marion, IN 46952 2015-05-05
1649510959 Cancer Services of Grant County Inc. Prosthetic/Orthotic Supplier 305 S. Norton Ave., Marion, IN 46952 2013-02-22
1326350844 Beth Ellen Krouse Speech-Language Pathologist 1800 Wabash Ave, Suite 200, Marion, IN 46952 2010-07-13
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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417384322 Cancer Care of Wnc, Pa Internal Medicine 430 Rankin Drive, Marion, NC 28752 2013-10-09
1740381169 Alberto Dejesus Cuartas Internal Medicine 3008 Civic Circle Blvd, Marion, IL 62959-5262 2006-09-26
1558629691 Abingdon Physician Partners Internal Medicine 245 Medical Park Drive, Suite B, Marion, VA 24354 2012-04-26
1760718431 Asheville Hematology & Oncology Associates Pa Internal Medicine 430 Rankin Dr, Marion, NC 28752-6568 2009-10-30
1972730885 Farrukh Ashraf Internal Medicine 1050 Delaware Ave, Marion, OH 43302-6416 2009-06-18
1659569093 Physicians' Billing of Mgh Internal Medicine 831 N Theatre Rd, Marion, IN 46952-1701 2007-10-11
1588786339 Southern Illinois Oncology & Hematology Ltd Internal Medicine 3008 Civic Circle Blvd, Marion, IL 62959-5262 2007-04-04
1710925045 Marion Independent Physicians Association, LLC Internal Medicine 1167 Independence Ave, Suite 100, Marion, OH 43302-6317 2006-06-02

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1134728553 Infusion Center of Indiana LLC Internal Medicine 2150 Intelliplex Dr Ste 134b, Shelbyville, IN 46176-8550 2020-10-19
1659987832 Vida Oncology LLC Internal Medicine 2150 Intelliplex Dr Ste 134, Shelbyville, IN 46176-8550 2020-09-22
1306256839 Anne Catherine Meier Internal Medicine 1600 S Lake Park Ave Ste 1101, Hobart, IN 46342-6641 2014-05-06
1033451083 Richard Brian Gaynor Internal Medicine Eli Lilly and Company Corporate Ctr, Indianapolis, IN 46285-0001 2013-03-17
1851697536 Melhem Jabbour Internal Medicine 2723 S 7th St Ste O, Terre Haute, IN 47802-3562 2011-01-28
1760798326 Redmond Prindiville Hogan IIi Internal Medicine 2808 W 44th St, Indianapolis, IN 46228-3147 2010-08-20
1720392798 Mohammad Issam Abu Zaid Internal Medicine 535 Barnhill Drive, Rt 473, Indiana Univeristy/hematology Oncology, Indianapolis, IN 46202-5147 2010-08-02
1710112396 Cancer Health Treatment Centers,p.c. Internal Medicine 104 Woodland Ct, Michigan City, IN 46360-7390 2009-05-26
1497998520 Ashwin Kolala Vasudevamurthy Internal Medicine 8301 Harcourt Rd Ste 205, Indianapolis, IN 46260 2009-04-20
1386805307 Vivian C Cook Internal Medicine 3699 Epworth Road, Newburgh, IN 47630-8909 2008-06-23
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Competitor

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City MARION
Zip Code 46952

Improve Information

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Dataset Information

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.

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