MICHIANA HEMATOLOGY-ONCOLOGY P C – NPI #1487793873
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 P C is a provider located in PLYMOUTH, IN. NPPES has assigned the NPI number 1487793873 to MICHIANA HEMATOLOGY-ONCOLOGY P C on February 05, 2007. 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 13 years ago on Jul 03, 2013. 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 P C below.

NPI Profile for
MICHIANA HEMATOLOGY-ONCOLOGY P C

NPI Number
1487793873
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MICHIANA HEMATOLOGY-ONCOLOGY P C
Primary location
1915 LAKE AVE
PLYMOUTH, IN 46563-9366
Phone: (574) 936-2585 Fax: (574) 936-3887
Mailing address
3975 WILLIAM RICHARDSON DR
SOUTH BEND, IN 46628-9800
Phone: (574) 234-5123 Fax: (574) 968-8488
Organization Subpart
No
Authorized Official
RAFAT ANSARI
PRESIDENT
Phone: (574) 234-5123
Updated
Identifiers

Identifiers for MICHIANA HEMATOLOGY-ONCOLOGY 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.

DescriptionIssuerStateIdentifier
OTHERNSCIN1176700001
MEDICAIDIN100389430
Taxonomy Code(s)

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)
332B00000X
- Durable Medical Equipment & Medical Supplies

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.