MONROE MEDICAL ASSOCIATES, SC (NPI# 1093752610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093752610 |
| Entity Type | Organization |
| Organization Name | MONROE MEDICAL ASSOCIATES, SC |
| Practice Address |
801 Macarthur Blvd Suite 401 Munster IN 46321-2915 |
| Practice Telephone | 2198362860 |
| Mailing Telephone | 2198362860 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2010-10-07 |
| Authorized Official Name | MARK F KOZLOFF (CEO / SENIOR PARTNER) |
| Authorized Official Telephone | 7083394800 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
042003867 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | B C B S GRP PROV # | 1615180 | 01 |
| IN | 100394430 | 05 | |
| IN | ANTHEM B S GRP PROV # | 105630 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588607923 | Monroe Medical Associates, Sc | Internal Medicine | 6701 159th St, Suite 1, Tinley Park, IL 60477-1758 | 2006-06-14 |
| 1386686145 | Monroe Medical Associates, Sc | Internal Medicine | 1600 S Lake Park Ave, Suite 1101, Hobart, IN 46342-6641 | 2006-06-12 |
| 1447291547 | Monroe Medical Associates, Sc | Internal Medicine | 71 W 156th St, Suite 401, Harvey, IL 60426-4260 | 2006-06-09 |
| Street Address |
801 MACARTHUR BLVD SUITE 401 |
| City | MUNSTER |
| State | IN |
| Zip Code | 46321-2915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356345227 | David S Rozenfeld | Psychiatry & Neurology | 801 Macarthur Blvd, Ste 404, Munster, IN 46321-2919 | 2005-06-09 |
| 1144821919 | Danielle Renee Dobkowski | Pharmacy Technician | 801 Macarthur Blvd, Munster, IN 46321-2915 | 2020-11-06 |
| 1881186328 | Lucia Salerno | Occupational Therapist | 801 Macarthur Blvd, Munster, IN 46321-2915 | 2018-05-31 |
| 1326549635 | Frank J Bieda | Pharmacist | 801 Macarthur Blvd, Munster, IN 46321-2915 | 2018-02-22 |
| 1861877656 | Ana Marie Javate | Nurse Practitioner | 801 Macarthur Blvd, Suite 401, Munster, IN 46321-2915 | 2015-07-22 |
| 1467830208 | Jacob Meyer | Specialist/Technologist | 801 Macarthur Blvd, Munster, IN 46321-2915 | 2015-05-13 |
| 1982090239 | Andrea Sue Reader | Clinical Nurse Specialist | 801 Macarthur Blvd, Ste 405, Munster, IN 46321-2915 | 2015-04-14 |
| 1942607163 | Mary Spina | Specialist/Technologist | 801 Macarthur Blvd, Munster, IN 46321-2915 | 2014-12-03 |
| 1164826699 | Julie Marie Pruim | Nurse Practitioner | 801 Macarthur Blvd, Suite 304, Munster, IN 46321-2915 | 2014-10-13 |
| 1700211828 | Jason White | Nurse Practitioner | 801 Macarthur Blvd, Suite 404, Munster, IN 46321-2915 | 2013-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154959179 | Munster Surgery Center LLC | Clinic/Center | 1950 45thstreet, Unit 101, Munster, IN 46321 | 2020-03-27 |
| 1467092668 | Barbara Armstrong-whitaker | Counselor | 8855 Columbia Ave, Munster, IN 46321 | 2020-01-15 |
| 1427537661 | Courtney Szydelko | Physical Therapist | 759 45th St Ste 202, Munster, IN 46321 | 2018-08-08 |
| 1407341787 | New Harvest Therapy Services, Inc. | Clinic/Center | 8124 Calumet Ave Ste B, Munster, IN 46321 | 2018-06-28 |
| 1043717945 | Region Eye Care LLC | Optometrist | 10413 Calumet Ave., Munster, IN 46321 | 2018-04-09 |
| 1003318122 | Jean M Nanos | Psychologist | 8124 Calumet Ave, Munster, IN 46321 | 2018-03-05 |
| 1841706330 | Avalon Marciniak | Speech-Language Pathologist | 1950 West 45th St., Munster, IN 46321 | 2017-12-19 |
| 1104330034 | Hinsdale Orthopaedic Associates, S.c. | Orthopaedic Surgery | 8141 S Calumet Ave, Unit 1, Munster, IN 46321 | 2017-11-30 |
| 1457871774 | Shannon Nicole Riley | Behavior Technician | 8113 Howard Ave., Munster, IN 46321 | 2017-06-27 |
| 1679017313 | Infomedica | Internal Medicine | 10010 Donald S Powers Dr, Munster, IN 46321 | 2016-12-15 |
| Find all providers in zip 46321 | ||||
| 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 |
|---|---|---|---|---|
| 1962439398 | Lawrence E Schilder | Internal Medicine | 929 Ridge Rd Ste 5, Munster, IN 46321 | 2006-06-28 |
| 1386612448 | Mohammed Y Ali | Internal Medicine | 1630 45th Ave, Munster, IN 46321-3963 | 2006-03-14 |
| 1831176874 | Ghassan M Jano | Internal Medicine | 929 Ridge Rd, Suite 5, Munster, IN 46321-1751 | 2005-12-30 |
| 1306823893 | Howard Morris Mishoulam | Internal Medicine | 9054 Columbia Ave, Munster, IN 46321-2905 | 2005-12-27 |
| 1528294998 | Gowri Ramadas | Internal Medicine | 1630 45th Ave, Munster, IN 46321-3963 | 2009-05-30 |
| 1063647634 | Cancer Health Treatment Centers, P.C. | Internal Medicine | 1630 45th Ave, Munster, IN 46321-3963 | 2009-05-26 |
| 1003078817 | Monroe Medical Associates Sc PC | Internal Medicine | 9250 Columbia Ave, Suite D2, Munster, IN 46321-3538 | 2008-07-02 |
| 1174562151 | Rowland O. Mbaoma | Internal Medicine | 701 Superior Ave, Franciscan Physicians Hospital, Munster, IN 46321-4037 | 2006-06-05 |
| 1275501363 | Balagopal Keralavarma | Internal Medicine | 1630 45th Ave, Munster, IN 46321-3963 | 2006-03-14 |
| 1891772778 | Nisheeth Gupta | Internal Medicine | 929 Ridge Rd, Suite 5, Munster, IN 46321-1751 | 2005-12-30 |
| Find all providers in MUNSTER | ||||
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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.