MICHIANA HEMATOLOGY ONCOLOGY OF MICHIGAN, P.C. – NPI #1235134461
Internal Medicine
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.
MICHIANA HEMATOLOGY ONCOLOGY OF MICHIGAN, P.C. is a provider located in NILES, MI. NPPES has assigned the NPI number 1235134461 to MICHIANA HEMATOLOGY ONCOLOGY OF MICHIGAN, P.C. on June 15, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RH0003X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology & Oncology
The NPI profile was previously updated about 17 years ago on Oct 13, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MICHIANA HEMATOLOGY ONCOLOGY OF MICHIGAN, P.C. below.
NPI Profile for
MICHIANA HEMATOLOGY ONCOLOGY OF MICHIGAN, P.C.
(about 21 years ago)
SUITE ONE
NILES, MI 49120 Phone: (269) 683-4153 Fax: (269) 683-4154
STE 6695
SOUTH BEND, IN 46601-1156 Phone: (574) 234-5123 Fax: (574) 237-1341
PRESIDENT
Phone: (574) 234-5123
Identifiers for MICHIANA HEMATOLOGY ONCOLOGY OF MICHIGAN, P.C.
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | MIBCBS | MI | 0A11038 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207RH0003X - Internal Medicine / Hematology & Oncology (Primary) |
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| 332B00000X - Durable Medical Equipment & Medical Supplies |
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| 207VX0201X - Obstetrics & Gynecology / Gynecologic Oncology |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.