HEMATOLOGY-ONCOLOGY ASSOC. EAST, PC (NPI# 1316116726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316116726 |
| Entity Type | Organization |
| Organization Name | HEMATOLOGY-ONCOLOGY ASSOC. EAST, PC |
| Other Organization Name | GREAT LAKES CANCER MANAGEMENT |
| Practice Address |
11051 Hall Rd Suite 120 Utica MI 48317-5735 |
| Mailing Address |
19229 Mack Ave Suite 24 Grosse Pointe Woods MI 48236-2858 |
| Practice Telephone | 5869910700 |
| Practice Fax Number | 5869910701 |
| Mailing Telephone | 3138845522 |
| Mailing Fax Number | 3138845521 |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2008-02-29 |
| Authorized Official Name | MOLLI MAJOR (BILLING MANAGEMENT) |
| Authorized Official Telephone | 3138841059 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| GREAT LAKES CANCER MANAGEMENT | Doing Business As Name - Organization |
| Street Address |
11051 HALL RD SUITE 120 |
| City | UTICA |
| State | MI |
| Zip Code | 48317-5735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407846462 | Deborah L Mikula | Obstetrics & Gynecology | 11051 Hall Rd, Suite 110, Utica, MI 48317-5735 | 2005-10-21 |
| 1366895559 | Michigan Neurology Associates Dme | Durable Medical Equipment & Medical Supplies | 11051 Hall Rd, Ste 240, Utica, MI 48317-5735 | 2016-07-22 |
| 1770818528 | Dawn Marie Roxborough | Nurse Practitioner | 11051 Hall Rd, Suite 120, Utica, MI 48317-5735 | 2009-10-13 |
| 1760664023 | Ann Arbor Anesthesia Associates Inc | Nurse Anesthetist, Certified Registered | 11051 Hall Rd, Suite 230, Utica, MI 48317-5735 | 2007-11-28 |
| 1841495132 | Utica Asc Partners, LLC | Clinic/Center | 11051 Hall Rd, Suite 230, Utica, MI 48317-5735 | 2007-06-18 |
| 1881769545 | Clinton Women's Healthcare, PC | Obstetrics & Gynecology | 11051 Hall Rd, Suite 110, Utica, MI 48317-5735 | 2006-11-21 |
| 1649351560 | Cammy E Beglin | Obstetrics & Gynecology | 11051 Hall Rd, Suite 110, Utica, MI 48317-5735 | 2006-10-18 |
| 1326138033 | Michigan Institute of Urology PC | Urology | 11051 Hall Rd, Suite 200, Utica, MI 48317-5735 | 2006-10-13 |
| 1427155357 | Great Lakes Cancer Mgmt Specialists | Non-Pharmacy Dispensing Site | 11051 Hall Rd, Ste 120, Utica, MI 48317-5735 | 2006-09-20 |
| 1083679070 | Earl R Koenig | Urology | 11051 Hall Rd, Suite 200, Utica, MI 48317-5735 | 2006-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891329686 | Jasmine Withers | Driver | 45835 Brownell St, Apt 9, Utica, MI 48317 | 2020-03-02 |
| 1942851670 | Kn Mental Health Services LLC | Social Worker | 1111 Hall Road, Utica, MI 48317 | 2019-09-24 |
| 1710461421 | Pureland Physical Therapy | Physical Medicine & Rehabilitation | 45555 Mound Rd, Shelby Twp, MI 48317 | 2018-09-18 |
| 1417433566 | Stephanie Marie Renner | Occupational Therapist | Regency At Shelby, 7401 22 Mile Road, Shelby Charter Township, MI 48317 | 2018-07-12 |
| 1437645959 | Jonathan G Deck | Physician Assistant | 46961 Vandyke Ave, Sheby Township, MI 48317 | 2018-07-09 |
| 1013407261 | Meredith Ann Schramski | Physician Assistant | 46961 Van Dyke Ave, Shelby Township, MI 48317 | 2018-05-14 |
| 1114446184 | Patrick Michael Roberts | Physician Assistant | 50149 Hedgeway Dr, Shelby Twp, MI 48317 | 2017-09-11 |
| 1427571702 | Boby Philip Manalel | Physical Therapist | 11150 Nature Way, Shelby Twp, MI 48317 | 2017-07-19 |
| 1285155119 | Shelby Urgent Care Walk-in Clinic | Family Medicine | 46965 Van Dyke Ave, Shelby Twp, MI 48317 | 2017-06-30 |
| 1942650718 | Samantha Parison | Technician, Other | 47980 Shelby Road, Shelby Township, MI 48317 | 2016-06-13 |
| Find all providers in zip 48317 | ||||
| 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 |
|---|---|---|---|---|
| 1619936127 | Atul V Butala | Internal Medicine | 807 Newell Street, Utica, NY 13502 | 2006-03-22 |
| 1417942301 | Samir Desai | Internal Medicine | 807 Newell St, Utica, NY 13502-5313 | 2005-09-16 |
| 1902975089 | Atul Butala Physician PC | Internal Medicine | 807 Newell Street, Utica, NY 13502 | 2006-11-06 |
| 1194716134 | Thomas Ryan | Internal Medicine | 6 Hampden Pl, Utica, NY 13502-5631 | 2005-10-31 |
| 1376532499 | Alicia Detraglia | Internal Medicine | 807 Newell St, Utica, NY 13502-5313 | 2005-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346887692 | Michigan Center for Hematology and Oncology | Internal Medicine | 28111 Hoover Rd Ste 5a, Warren, MI 48093-4153 | 2019-12-05 |
| 1487093274 | Heidi M Egloff | Internal Medicine | 1140 E Michigan Ave, Lansing, MI 48912-1805 | 2013-06-14 |
| 1588008809 | Roba Alhasan | Internal Medicine | 4900 Mercury Dr Ste 100, Dearborn, MI 48126-2947 | 2013-04-18 |
| 1285975151 | David Allen Leichtman | Internal Medicine | 5216 Mirror Lake Ct, West Bloomfield, MI 48323-1536 | 2013-03-02 |
| 1184988750 | Musnon Medical Center | Internal Medicine | 4960 Skyview Court, Traverse City, MI 49684-7173 | 2012-06-28 |
| 1659634772 | Leann Michelle Blankenship | Internal Medicine | 3577 W 13 Mile Rd Ste 202, Royal Oak, MI 48073-6710 | 2012-06-22 |
| 1609160928 | Iha Health Services Corporation | Internal Medicine | 5301 E Huron River Dr Ste 210, Ypsilanti, MI 48197-1051 | 2011-06-03 |
| 1366733156 | Nakul Singhal | Internal Medicine | 5015 Oak Tree Ct, Ann Arbor, MI 48108-8573 | 2011-04-27 |
| 1275859704 | Elon Knoll | Internal Medicine | 11885 E 12 Mile Rd Ste 100a, Warren, MI 48093-3465 | 2010-04-08 |
| 1598911448 | Mohammad Muhsin Chisti | Internal Medicine | 44199 Dequindre Rd Ste G-10, Troy, MI 48085-1128 | 2008-08-12 |
| 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.