DR. BETTY KOSHY (NPI# 1437155561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437155561 |
| Entity Type | Individual |
| Full Name | DR. BETTY KOSHY |
| Credential | M.D. |
| Practice Address |
820 Lester Ave Saint Joseph MI 49085-2561 |
| Mailing Address |
3380 Lincoln Ave Saint Joseph MI 49085-3703 |
| Practice Telephone | 2699850029 |
| Practice Fax Number | 2699850040 |
| Mailing Telephone | 2699850029 |
| Mailing Fax Number | 2699850040 |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2007-07-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
4301032733 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | PHYSICIANS HEALTH PLAN | 36-30032 | 01 |
| MI | BCBS | 11-0111404-1 | 01 |
| MI | 4647527 | 05 |
| Street Address |
820 LESTER AVE |
| City | SAINT JOSEPH |
| State | MI |
| Zip Code | 49085-2561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619972122 | Eric P Lester | Internal Medicine | 820 Lester Ave, Ste 119, Saint Joseph, MI 49085-2565 | 2005-06-21 |
| 1700188570 | Sandra Lee Feldman | Social Worker | 820 Lester Ave, Suite B10, Saint Joseph, MI 49085-2561 | 2010-11-29 |
| 1982637104 | Oncology Care Associates, Pllc | Internal Medicine | 820 Lester Ave, 119, Saint Joseph, MI 49085-2561 | 2006-07-09 |
| 1174583413 | Anthony Palmer | Internal Medicine | 820 Lester Ave, Ste 203, Saint Joseph, MI 49085-2561 | 2006-03-23 |
| 1124024260 | Anthony P Salvagione | Internal Medicine | 820 Lester Ave, Saint Joseph, MI 49085-2561 | 2005-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758949 | Ahmed Elshareif | Student in an Organized Health Care Education/Training Program | Lakeland Health, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2020-04-03 |
| 1033747225 | Ezra Fox | Student in an Organized Health Care Education/Training Program | Lakeland Health- Gme, 1234 Napier Avenue, St. Joseph, MI 49085 | 2020-04-01 |
| 1679033930 | Asad Butt | Student in an Organized Health Care Education/Training Program | Lakeland Health-gme, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2019-03-22 |
| 1184194714 | Benjamin Phillip Knuth | Physical Therapist | 3950 Hollywood Road, Suite 140, Saint Joseph, MI 49085 | 2018-11-27 |
| 1336624279 | Brandi Chatot | Counselor | 1101 Broad Street #8, Saint Joseph, MI 49085 | 2018-09-26 |
| 1396239562 | Lakeland Medical Practices | Family Medicine | 2500 Niles Ave., Suite 1, St. Joseph, MI 49085 | 2018-06-20 |
| 1760976518 | Premier Health Associates, Inc. | Home Health | 1111 Main Sr, St Joseph, MI 49085 | 2018-06-15 |
| 1053817783 | Chantell Strong | Student in an Organized Health Care Education/Training Program | Lakeland Health - Gme, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2018-04-02 |
| 1386144053 | Anjana Gupta, Dds, Pllc | Dentist | 2800 Niles Road, Saint Joseph, MI 49085 | 2018-02-19 |
| 1356858997 | Hope Reborn Counseling, Pllc | Counselor | 2816 Willa Dr, Saint Joseph, MI 49085 | 2018-01-04 |
| Find all providers in zip 49085 | ||||
| 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 |
|---|---|---|---|---|
| 1619972122 | Eric P Lester | Internal Medicine | 820 Lester Ave, Ste 119, Saint Joseph, MI 49085-2565 | 2005-06-21 |
| 1689678021 | Lowell D Smith | Internal Medicine | 3950 Hollywood Rd, Ste 240, Saint Joseph, MI 49085-9151 | 2005-06-13 |
| 1699051136 | Lakeland Medical Practices | Internal Medicine | 3900 Hollywood Rd, Saint Joseph, MI 49085-9149 | 2011-10-28 |
| 1831491398 | Lakeland Medical Practices | Internal Medicine | 3950 Hollywood Rd, Suite 240, Saint Joseph, MI 49085-9151 | 2010-12-03 |
| 1659698231 | Heartland Clinic Cancer Center St Joseph Oncology | Internal Medicine | 902 N Riverside Rd, Suite 200, Saint Joseph, MO 64507-2559 | 2010-04-22 |
| 1578798393 | Gopichand Pendurti | Internal Medicine | 902 N Riverside Rd, Ste 200, Saint Joseph, MO 64507-2518 | 2009-05-22 |
| 1851541353 | Daniel Richard Douce | Internal Medicine | 3900 Hollywood Rd, Saint Joseph, MI 49085 | 2008-09-22 |
| 1982637104 | Oncology Care Associates, Pllc | Internal Medicine | 820 Lester Ave, 119, Saint Joseph, MI 49085-2561 | 2006-07-09 |
| 1801830732 | Sapna R Patel | Internal Medicine | 3900 Hollywood Rd, Marie Yeager Cancer Center, Saint Joseph, MI 49085-9149 | 2006-06-14 |
| 1578500542 | Jason Richard Beckrow | Internal Medicine | 4025 Health Park Ln, Saint Joseph, MI 49085-3421 | 2006-05-31 |
| Find all providers in SAINT JOSEPH | ||||
| City | SAINT JOSEPH |
| Zip Code | 49085 |
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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.