MEDICAL ONCOLOGY AND HEMATOLOGY ASSOCIATGES PTRSHP (NPI# 1649649377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649649377 |
| Entity Type | Organization |
| Organization Name | MEDICAL ONCOLOGY AND HEMATOLOGY ASSOCIATGES PTRSHP |
| Other Organization Name | MISSION CANCER & BLOOD |
| Practice Address |
12495 University Ave Suite 200 Clive IA 50325-8289 |
| Practice Telephone | 5152236605 |
| Practice Fax Number | 5152230756 |
| Mailing Telephone | 5152236605 |
| Mailing Fax Number | 5152230756 |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2019-11-15 |
| Authorized Official Name | DR. THOMAS R BUROKER (MANAGING PARTNER) |
| Authorized Official Telephone | 5152236605 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
IA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Mission Cancer & Blood | Doing Business As Name - Organization |
| Street Address |
12495 UNIVERSITY AVE SUITE 200 |
| City | CLIVE |
| State | IA |
| Zip Code | 50325-8289 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104449446 | Clive Behavioral Health LLC | Psychiatric Hospital | 1500 Nw 114th St, Clive, IA 50325 | 2020-05-21 |
| 1609426519 | Caroline Silva Pereira Lara Ribeiro | Occupational Therapist | 15500 Boston Parkway, Appt 110, Clive, IA 50325 | 2019-09-13 |
| 1487203873 | Karen Turnure | Technician | 4524 Nw 16th St, Clive, IA 50325 | 2019-09-09 |
| 1659920320 | Phs Walnut Ridge LLC | Skilled Nursing Facility | 1703 Campus Drive, Clive, IA 50325 | 2019-09-05 |
| 1700288834 | Lindsey White | Chiropractor | 12931 University Ave, Suite 103, Clive, IA 50325 | 2014-09-19 |
| 1811337389 | Metro West Learning Center, LLC | Counselor | 13300 Hickman Rd Ste 110, Clive, IA 50325 | 2013-06-28 |
| 1700110343 | Rodolfo Mallorca Legislador Sr. | Family Medicine | 1665 Nw 97th St., Clive, IA 50325 | 2009-09-30 |
| 1891961900 | Erin Ducharme | Dermatology | 16349 Sheridan Drive, Suite 101, Clive, IA 50325 | 2008-05-08 |
| 1174792873 | The Iowa Clinic PC | Prosthetic/Orthotic Supplier | 12655 University Ave, Ste 160, Clive, IA 50325 | 2008-02-27 |
| 1164623393 | Melisa Coaker | Internal Medicine | 1275 Nw 128th St, Ste 200, Clive, IA 50325 | 2007-05-28 |
| Find all providers in zip 50325 | ||||
| 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 |
|---|---|---|---|---|
| 1154646149 | Hussain M Naseri | Internal Medicine | 200 E Ridgeway Ave Ste 400, Waterloo, IA 50702 | 2010-04-01 |
| 1356584080 | Tara Michelle Graff | Internal Medicine | 411 Laurel Street Suite A300, Des Moines, IA 50314 | 2009-04-10 |
| 1801063243 | Chitra Devi Anangur Ganesan | Internal Medicine | 1000 4th Street, Sw, Mercy Medical Center, Mason City, IA 50401 | 2008-05-14 |
| 1811169972 | Stacey Marie Parker-brueggemann | Internal Medicine | 1 Edmundson Pl Ste 100, Council Bluffs, IA 51503-4658 | 2008-03-28 |
| 1205908563 | Cancer Care of Iowa City LLC | Internal Medicine | 613 E Bloomington, Suite 100 Cancer Care of Iowa City, Iowa City, IA 52245 | 2006-11-14 |
| 1356352116 | Susannah Parker Friemel | Internal Medicine | 1750 E 53rd Street, Davenport, IA 52807 | 2006-08-10 |
| 1215980602 | Jasjeet Singh Sangha | Internal Medicine | 3530 West 4th Street, Waterloo, IA 50701-4503 | 2006-05-18 |
| 1033169768 | Christine Marie Holm | Internal Medicine | 150 Mercy Dr., Dubuque, IA 52001-7301 | 2006-05-11 |
| 1588628101 | Robert R Shreck | Internal Medicine | 1221 Pleasant Street, #100, Des Moines, IA 50309 | 2006-04-12 |
| 1609837509 | Loren D Brown | Internal Medicine | 411 Laurel, Suite A300 Medical Oncology and Hematology, Des Moines, IA 50314 | 2006-03-30 |
| 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.