GREAT LAKES CANCER MANAGEMENT SPECIALISTS – NPI #1568476547
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.

Health Care Provider Taxonomy Code for Internal Medicine

GREAT LAKES CANCER MANAGEMENT SPECIALISTS is a provider located in GROSSE POINTE WOODS, MI. NPPES has assigned the NPI number 1568476547 to GREAT LAKES CANCER MANAGEMENT SPECIALISTS on July 28, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GREAT LAKES CANCER MANAGEMENT SPECIALISTS” is a dba name, the actual legal business name for this organization is HEMATOLOGY ONCOLOGY ASSOC. EAST PC. 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 18 years ago on Feb 29, 2008. 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 GREAT LAKES CANCER MANAGEMENT SPECIALISTS below.

NPI Profile for
HEMATOLOGY ONCOLOGY ASSOC. EAST PC

NPI Number
1568476547
Enumeration Date

(about 20 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
HEMATOLOGY ONCOLOGY ASSOC. EAST PC
Doing Business As (dba): GREAT LAKES CANCER MANAGEMENT SPECIALISTS
Primary location
19229 MACK AVE STE 24
GROSSE POINTE WOODS, MI 48236-2857
Phone: (313) 884-5522 Fax: (313) 884-5521
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MOLLI MAJOR
BILLING MANAGER
Phone: (313) 884-1059
Updated
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)

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.