NORTHWEST ONCOLOGY, P.C. (NPI# 1578527826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578527826 |
| Entity Type | Organization |
| Organization Name | NORTHWEST ONCOLOGY, P.C. |
| Practice Address |
1001 Calumet Ave Dyer IN 46311-1596 |
| Practice Telephone | 2199248178 |
| Practice Fax Number | 2199248193 |
| Mailing Telephone | 2199248178 |
| Mailing Fax Number | 2199248193 |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2020-02-25 |
| Authorized Official Name | MOHAMAD KASSAR (PRESIDENT) |
| Authorized Official Telephone | 2199248178 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200448210 | 05 |
| Street Address |
1001 CALUMET AVE |
| City | DYER |
| State | IN |
| Zip Code | 46311-1596 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235698408 | Amanda Meyers | Registered Nurse | 1001 Calumet Ave, Dyer, IN 46311-1596 | 2019-03-18 |
| 1174096192 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1001 Calumet Ave, Ste 101, Dyer, IN 46311-1596 | 2019-01-03 |
| 1487135034 | Amie Swardson Barry | Nurse Practitioner | 1001 Calumet Ave, Dyer, IN 46311-1596 | 2018-08-22 |
| 1770952236 | Ashley Ramos | Physician Assistant | 1001 Calumet Ave, Dyer, IN 46311 | 2015-09-15 |
| 1467773036 | Michael Vincent Tallarico | Internal Medicine | 1001 Calumet Ave, Dyer, IN 46311 | 2010-06-17 |
| 1356508915 | Neel Bhupendra Shah | Internal Medicine | 1001 Calumet Ave, Dyer, IN 46311-1596 | 2008-05-21 |
| 1063691830 | Mohamad Kassar | Internal Medicine | 1001 Calumet Ave, Dyer, IN 46311-1596 | 2007-10-30 |
| 1518160720 | Rajul Kothari | Obstetrics & Gynecology | 1001 Calumet Ave, Dyer, IN 46311-1596 | 2007-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407338858 | Leena Yousef-diaz | Nurse Practitioner | 1100 Joliet Street Suite #201, Dyer, IN 46311 | 2018-09-02 |
| 1518476639 | Kor Speech Therapy, LLC | Speech-Language Pathologist | 219 Primrose Dr., Dyer, IN 46311 | 2017-09-20 |
| 1861921207 | Derrick Durrah | Counselor | 2615 James Drive, Dyer, IN 46311 | 2017-06-08 |
| 1073962189 | Maria Lule | Pharmacist | 805 Joliet Road, Dyer, IN 46311 | 2016-06-09 |
| 1780072157 | Mario Munoz | Skilled Nursing Facility | 515 Audrey Ct, Dyer, IN 46311 | 2015-01-07 |
| 1457772451 | Lisa Jennifer Mickelson | Registered Nurse | 600 Joliet St., Kahler Middle School, Dyer, IN 46311 | 2013-12-18 |
| 1285055285 | Tanya D Burk-willson | Registered Nurse | 14600 W 81st St., Bibich Elementary, Dyer, IN 46311 | 2013-12-18 |
| 1013338011 | Mary Beth Rinaldi | Registered Nurse | 1121 Harrison Ave, Protsman Elementary, Dyer, IN 46311 | 2013-12-18 |
| 1023448057 | Franciscan Alliance | General Acute Care Hospital | 24 Joliet Street, 3da, Dyer, IN 46311 | 2013-11-12 |
| 1508078239 | Fatima Jaffer Md Sc PC | Internal Medicine | Physicians Pavilion Suite 101, 24 East Joliet Street, Dyer, IN 46311 | 2007-05-04 |
| Find all providers in zip 46311 | ||||
| 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 |
|---|---|---|---|---|
| 1356508915 | Neel Bhupendra Shah | Internal Medicine | 1001 Calumet Ave, Dyer, IN 46311-1596 | 2008-05-21 |
| 1063691830 | Mohamad Kassar | Internal Medicine | 1001 Calumet Ave, Dyer, IN 46311-1596 | 2007-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on NORTHWEST ONCOLOGY, 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.