CENTER FOR HEMATOLOGY-ONCOLOGY OF S. MICHIGAN (NPI# 1396833687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396833687 |
Entity Type | Organization |
Organization Name | CENTER FOR HEMATOLOGY-ONCOLOGY OF S. MICHIGAN |
Practice Address |
1100 E Michigan Ave Suite 201 Jackson MI 49201-1847 |
Practice Telephone | 5177897122 |
Practice Fax Number | 5177895229 |
Mailing Telephone | 5177897122 |
Mailing Fax Number | 5177895229 |
Enumeration Date | 2006-10-11 |
Last Update Date | 2008-03-26 |
Authorized Official Name | DR. JOHN AXELSON (PRESIDENT) |
Authorized Official Telephone | 5177897122 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0000X |
Internal Medicine Specialization: Hematology |
Allopathic & Osteopathic Physicians |
Street Address |
1100 E MICHIGAN AVE SUITE 201 |
City | JACKSON |
State | MI |
Zip Code | 49201-1847 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831192483 | Mary Anne Purtill | Surgery | 1100 E Michigan Ave, Ste 201, Jackson, MI 49201-1847 | 2005-05-27 |
1417338914 | Beth Kalis | Nurse Practitioner | 1100 E Michigan Ave, Suite 307, Jackson, MI 49201-1847 | 2015-06-11 |
1669868154 | Meghan Armstrong | Physician Assistant | 1100 E Michigan Ave, Suite 307, Jackson, MI 49201-1847 | 2015-04-10 |
1003167321 | Katherine Ann Mccormack | Physician Assistant | 1100 E Michigan Ave, Ste. 201, Jackson, MI 49201-1847 | 2012-09-26 |
1316229628 | Pallavi Bhargava | Internal Medicine | 1100 E Michigan Ave, Suite 305, Jackson, MI 49201-1847 | 2011-09-13 |
1114162625 | Vishal Gupta | Internal Medicine | 1100 E Michigan Ave, Ste 310, Jackson, MI 49201-1847 | 2008-12-12 |
1912174921 | Arthur R Vendola Md PC | Obstetrics & Gynecology | 1100 E Michigan Ave, Suite 202, Jackson, MI 49201-1847 | 2008-05-09 |
1659549228 | Kabindra N Mishra Md PC | Specialist | 1100 E Michigan Ave, Suite 308, Jackson, MI 49201-1847 | 2008-02-15 |
1144407446 | Rajan Pastoriza Md Plc | Obstetrics & Gynecology | 1100 E Michigan Ave, Ste 205, Jackson, MI 49201-1847 | 2008-01-29 |
1255520573 | Daniel P Freeman Mdpc | Psychiatry & Neurology | 1100 E Michigan Ave, Suite 302, Jackson, MI 49201-1847 | 2007-10-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174137863 | Sally Ann Shaw | Behavior Technician | 3699 Miles Rd., Jackson, MI 49201 | 2020-09-01 |
1780293043 | Alyn Kristin Kay | Technician | Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 | 2020-07-23 |
1841827946 | Maverick Jubane | Student in an Organized Health Care Education/Training Program | Henry Ford Allegiance Health, 205 N East Avenue, Jackson, MI 49201 | 2020-03-26 |
1306486584 | Cody Williams | Technician, Other | 1001 Laurence Avenue St E, Jackson, MI 49201 | 2020-01-15 |
1720632292 | Krystie Lynn Adorjan | Speech-Language Pathologist | 1175 W Parnall Rd, Jackson, MI 49201 | 2019-08-01 |
1407412653 | Howard Franklin Tanner II | Speech-Language Pathologist | 102 East Michigan Avenue, Jackson, MI 49201 | 2019-05-14 |
1356863740 | Rima Zarar Qayyum | Speech-Language Pathologist | 4800 Firethorn Dr., Jackson, MI 49201 | 2017-07-07 |
1306384383 | Briana Nesmith | Speech-Language Pathologist | 2025 Ann Arbor Road, Jackson, MI 49201 | 2017-02-09 |
1255878062 | W.a. Foote Memorial Hospital, Inc | Otolaryngology | 205 N.east Ave, Jackson, MI 49201 | 2017-01-31 |
1306212881 | Aisha Henderson | Social Worker | 729 West Michigan Avenue, Jackson, MI 49201 | 2015-08-19 |
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Taxonomy Code | 207RH0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology |
An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558396424 | Vincent E. Herrin | Internal Medicine | 1860 Chadwick Dr Ste 351, Jackson, MS 39204-3472 | 2006-07-11 |
1043757909 | W.a. Foote Memorial Hospital, Inc | Internal Medicine | 205 N. East Ave, Jackson, MI 49201 | 2017-01-30 |
1609043249 | Joseph E Fouche | Internal Medicine | 720 W Forest Avenue, Jackson, TN 38301-3902 | 2008-05-13 |
1376551432 | Bernard Joseph Dreiling | Internal Medicine | 1500 E Woodrow Wilson Ave, Va Hospital, Jackson, MS 39216-5116 | 2006-08-04 |
1144259235 | Carolyn L Bigelow | Internal Medicine | 2500 North State Street, Department of Medicine/division of Hematology, Jackson, MS 39216-4500 | 2006-07-01 |
1558398909 | Joe C. Files | Internal Medicine | 2500 North State Street, Department of Medicine/division of Hematology, Jackson, MS 39216-4500 | 2006-06-28 |
1336176817 | Stephanie L. Elkins | Internal Medicine | 2500 North State Street, Department of Medicine/division of Hematology, Jackson, MS 39216-4500 | 2006-06-28 |
1205821998 | Salomon Asmar | Internal Medicine | 2863 Highway 45 Byp, Jackson, TN 38305-3618 | 2005-09-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376645085 | Borys W Hrinczenko | Internal Medicine | 804 Service Rd # A201, East Lansing, MI 48824-7015 | 2006-09-02 |
1700881059 | Craig E Cole | Internal Medicine | 401 W Greenlawn Ave, Lansing, MI 48910-2819 | 2005-06-14 |
1760014633 | Msu Health Care Inc. | Internal Medicine | 401 W Greenlawn Ave, Lansing, MI 48910-2819 | 2020-02-10 |
1407112162 | Andrew Daniel Kin | Internal Medicine | 4100 John R St, Detroit, MI 48201-2013 | 2012-04-06 |
1104089812 | Sang Hee Min | Internal Medicine | 1500 East Medical Center Dr, B1 Floor Cancer Recp B, Ann Arbor, MI 48109-5911 | 2008-07-03 |
1043339138 | M Elizabeth Atkinson | Internal Medicine | 1036 Fuller Ave Ne, Grand Rapids, MI 49503-1304 | 2007-03-28 |
1063546703 | University Internal Medicine Specialists | Internal Medicine | 4100 John R St, Detroit, MI 48201-2013 | 2007-03-15 |
1194852798 | Oncology Associates PC | Internal Medicine | 22255 Greenfield Rd, Ste 450, Southfield, MI 48075-3710 | 2007-02-28 |
1184638041 | Muhammad S Shurafa | Internal Medicine | 19229 Mack Ave Ste 24, Grosse Pointe Woods, MI 48236-2857 | 2006-07-28 |
1851323679 | Kathleen Kemmer | Internal Medicine | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2006-07-06 |
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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.