DR. JOHN J HALUSCHAK (NPI# 1407895535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407895535 |
| Entity Type | Individual |
| Full Name | DR. JOHN J HALUSCHAK |
| Credential | MD |
| Practice Address |
9000 N Main St Suite G36 Dayton OH 45415-1180 |
| Mailing Address |
6680 Poe Ave Suite 200 Dayton OH 45414-2854 |
| Practice Telephone | 9372931622 |
| Practice Fax Number | 9372456308 |
| Mailing Telephone | 9372808366 |
| Mailing Fax Number | 9372808373 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2015-12-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
35057545 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0955640 | 05 | |
| ANTHEM | 000000389964 | 01 |
| Street Address |
9000 N MAIN ST SUITE G36 |
| City | DAYTON |
| State | OH |
| Zip Code | 45415-1180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164425443 | Abdelhamed I Abdelhamed | Internal Medicine | 9000 N Main St, Ste 101, Dayton, OH 45415-1180 | 2005-05-31 |
| 1952893299 | Alan Ayette | Pharmacy | 9000 N Main St, Mvhn Inpatient Pharmacy, Dayton, OH 45415 | 2018-06-02 |
| 1689165896 | Bonnie Homan Tangeman | Pharmacist | 9000 N Main St, Dayton, OH 45415-1180 | 2018-05-23 |
| 1275022709 | Karen Ann Hartman | Pharmacist | 9000 N Main St, Retail Pharmacy, Dayton, OH 45415 | 2018-05-10 |
| 1699177329 | Christopher Groff | Physician Assistant | 9000 N Main St, Ste 227, Dayton, OH 45415-1180 | 2014-09-25 |
| 1609297134 | Pfdental Reddy Inc | Dentist | 9000 N Main St, Ste 207, Dayton, OH 45415-1180 | 2013-12-31 |
| 1497190029 | Associated Foot and Ankle Specialists of Ohio Inc | Podiatrist | 9000 N Main St, Suite 203, Dayton, OH 45415-1180 | 2013-05-09 |
| 1518209618 | Samaritan Family Care Inc | Family Medicine | 9000 N Main St, Ste 238, Dayton, OH 45415-1180 | 2013-03-27 |
| 1912246034 | Samaritan Family Care, Inc | Surgery | 9000 N Main St, Dayton, OH 45415-1180 | 2013-02-08 |
| 1013272616 | Carla Renee King | Advanced Practice Midwife | 9000 N Main St, Suite 232, Dayton, OH 45415-1180 | 2012-07-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457881062 | Angelique Oluyitan | Registered Nurse | 50 Granite Dr, Dayton, OH 45415 | 2017-06-15 |
| 1255869244 | Sherry Marie Buchanan | Occupational Therapy Assistant | 140 Ewoodbury Dr, Dayton, OH 45415 | 2017-06-02 |
| 1417328972 | Thomas Riddell | Hearing Instrument Specialist | 5525 N. Main St, Dayton, OH 45415 | 2015-10-09 |
| 1932448537 | Mory Summer | General Practice | 141 Trailwoods Dr., Dayton, OH 45415 | 2013-02-04 |
| 1184909095 | Yolanda Jean Jenkins | Registered Nurse | 6339 Afton Drive, Dayton, OH 45415 | 2011-10-12 |
| 1023392560 | Megan E Betts | Specialist/Technologist, Other | 9000 N Main St. Ste 303, Dayton, OH 45415 | 2011-10-03 |
| 1356655195 | Gwendolyn L. Warren | Massage Therapist | 8393 N. Main St., Ste B, Dayton, OH 45415 | 2010-08-04 |
| 1811141559 | Dayton Physicians, LLC | Durable Medical Equipment & Medical Supplies | 9000 N Main St Suite 333, Dayton, OH 45415 | 2008-11-07 |
| 1730331224 | Joel Metze | Obstetrics & Gynecology | 9000 N Main St Ste 232, Englewood, OH 45415 | 2008-10-16 |
| 1023236247 | James Otis Hurst | Dentist | 9000 N. Main Street, Suite 207, Dayton, OH 45415 | 2007-04-23 |
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| 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 |
|---|---|---|---|---|
| 1093765158 | Robert N Raju | Internal Medicine | 1191 Walnut Valley Ln, Dayton, OH 45458-9583 | 2006-05-11 |
| 1215927520 | Stuart A Merl | Internal Medicine | 10060 Simms Station Rd, Dayton, OH 45458-9656 | 2005-10-27 |
| 1508471376 | Oncology Hematology Care, Inc | Internal Medicine | 3120 Governors Place Blvd, Dayton, OH 45409-1328 | 2020-09-09 |
| 1356622054 | Alliance Physician Inc | Internal Medicine | 405 W Grand Ave, 4th Floor, Dayton, OH 45405-4720 | 2011-09-08 |
| 1518156983 | Hematology & Oncology of Dayton, Inc. | Internal Medicine | 9000 N Main St Ste G-36, Dayton, OH 45415-1183 | 2007-10-22 |
| 1649281080 | Michael Alan Baumann | Internal Medicine | 4100 W 3rd St, Medicine (111w), Dayton, OH 45428-9000 | 2006-08-11 |
| 1023058427 | Mark D Romer | Internal Medicine | 3120 Governors Place Blvd, Dayton, OH 45409-1328 | 2006-06-07 |
| 1083664023 | Ketan S. Shah | Internal Medicine | 3120 Governors Place Blvd, Dayton, OH 45409-1328 | 2006-05-11 |
| 1700854239 | Florin D Andreca | Internal Medicine | 4881 Sugar Maple Dr, Dayton, OH 45433 | 2006-03-10 |
| 1649261470 | Medical Oncology-hematology Associates Inc. | Internal Medicine | 1 Elizabeth Pl, 10 Th Floor Suite 10b, Dayton, OH 45417-3445 | 2005-11-01 |
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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.