CANCER & HEMATOLOGY CENTERS OF WESTERN MI, P.C. (NPI# 1467017434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467017434 |
| Entity Type | Organization |
| Organization Name | CANCER & HEMATOLOGY CENTERS OF WESTERN MI, P.C. |
| Other Organization Name | RHEUMATOLOGY CENTERS OF WESTERN MICHIGAN |
| Practice Address |
5800 Foremost Dr Se Ste 202 Grand Rapids MI 49546-7062 |
| Mailing Address |
5800 Foremost Dr Se Ste 300 Grand Rapids MI 49546-7062 |
| Practice Telephone | 6163891800 |
| Mailing Telephone | 8338500888 |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2020-03-11 |
| Authorized Official Name | KAREN REXFORD (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 8338500888 |
| Is Organization Subpart | Y |
| Parent Organization Name | CANCER & HEMATOLOGY CENTERS OF WESTERN MI, P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Rheumatology Centers of Western Michigan | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528018389 | Cancer & Hematology Centers of Western Mi, P.C. | Specialist | 5800 Foremost Dr Se Ste 300, Grand Rapids, MI 49546-7062 | 2006-05-11 |
| 1982264826 | Cancer & Hematology Centers of Western Mi, P.C. | Pharmacy | 12460 Riley St, Holland, MI 49424-8217 | 2019-06-13 |
| 1316197379 | Cancer & Hematology Centers of Western Mi, P.C. | Pharmacy | 6425 S. Harvey St., Norton Shores, MI 49444 | 2008-09-26 |
| 1386864080 | Cancer & Hematology Centers of Western Mi, P.C. | Clinical Medical Laboratory | 145 Michigan St Ne, Suite 3100, Grand Rapids, MI 49503-2562 | 2007-04-26 |
| 1225253974 | Cancer & Hematology Centers of Western Mi, P.C. | Pharmacy | 250 Cherry St Se, Grand Rapids, MI 49503-4608 | 2007-04-16 |
| Street Address |
5800 FOREMOST DR SE STE 202 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-7062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518178813 | Lakshmi Kocharla | Internal Medicine | 5800 Foremost Dr Se Ste 202, Grand Rapids, MI 49546-7062 | 2007-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 |
|---|---|---|---|---|
| 1518178813 | Lakshmi Kocharla | Internal Medicine | 5800 Foremost Dr Se Ste 202, Grand Rapids, MI 49546-7062 | 2007-05-25 |
| 1215924642 | Richard W Martin | Internal Medicine | 1155 E Paris Ave Se, Ste 100, Grand Rapids, MI 49546-8368 | 2005-09-30 |
| 1902890437 | David D Hamm | Internal Medicine | 1900 Wealthy St Se, Ste 220, Grand Rapids, MI 49506-2969 | 2005-09-12 |
| 1396185534 | Nour Zleik | Internal Medicine | 3271 Clear Vista Ct Ne, Grand Rapids, MI 49525 | 2013-07-02 |
| 1861701047 | Spectrum Health Primary Care Partners | Internal Medicine | 1900 Wealthy St Se, Grand Rapids, MI 49506-2969 | 2010-10-05 |
| 1518194034 | Eric Thomas Slavin | Internal Medicine | 1155 E Paris Ave Se, Suite 100, Grand Rapids, MI 49546-8368 | 2009-06-11 |
| 1235323072 | Andrew J Head | Internal Medicine | 1155 E Paris Ave Se, Ste 100, Grand Rapids, MI 49546-8368 | 2007-09-05 |
| 1629194352 | Aaron T Eggebeen | Internal Medicine | 1155 E Paris Ave Se, Ste 100, Grand Rapids, MI 49546-8368 | 2007-03-22 |
| 1538285135 | Arthritis Education and Treatment Center, Pllc | Internal Medicine | 1155 E Paris Ave Se, Ste 100, Grand Rapids, MI 49546-8368 | 2007-03-22 |
| 1043381353 | Peter Zigfrid Zadvinskis | Internal Medicine | 3271 Clear Vista Ct Ne, Grand Rapids, MI 49525-9477 | 2006-11-10 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
Please comment or provide details below to improve the information on CANCER & HEMATOLOGY CENTERS OF WESTERN MI, P.C..
| 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.