HEMATOLOGY ONCOLOGY SPECIALTY SC (NPI# 1679658983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679658983 |
Entity Type | Organization |
Organization Name | HEMATOLOGY ONCOLOGY SPECIALTY SC |
Practice Address |
2900 W Oklahoma Ave Milwaukee WI 53215-4330 |
Mailing Address |
N53w16184 Whitetail Run Menomonee Falls WI 53051-0628 |
Practice Telephone | 4146496380 |
Practice Fax Number | 4146495389 |
Mailing Telephone | 2627030116 |
Enumeration Date | 2006-10-26 |
Last Update Date | 2020-08-22 |
Authorized Official Name | HUSAM S. TARAWNEH (PRESIDENT) |
Authorized Official Telephone | 2629689190 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
31619 | WI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 31671000 | 05 |
Street Address |
2900 W OKLAHOMA AVE |
City | MILWAUKEE |
State | WI |
Zip Code | 53215-4330 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386640811 | Moises A Garcia | Internal Medicine | 2900 W Oklahoma Ave, 5th Fl, Milwaukee, WI 53215-4330 | 2005-06-21 |
1366040883 | Amy Lynn Mann | Occupational Therapist | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2020-10-16 |
1992302616 | Taylor A Umpierrez | Nurse Practitioner | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2020-10-06 |
1831705664 | Fauzan Ali | Anesthesiologist Assistant | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2020-09-17 |
1992318091 | Sarah E Gelhaar | Nurse Practitioner | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2020-08-28 |
1831700483 | David J Guerard | Nurse Practitioner | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2020-08-16 |
1083225767 | Melanie M Quella | Nurse Practitioner | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2020-08-14 |
1740890219 | Kathleen Rose Silveira | Pharmacist | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2020-08-08 |
1245849264 | Anna K Coppin | Nurse Practitioner | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2020-07-27 |
1780209320 | Angie Knutson | Pharmacist | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2020-06-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841829918 | Joshua Michael Brooks | Student in an Organized Health Care Education/Training Program | Aurora St. Lukes Medical Center 2901 W Oklahoma Ave, Milwaukee, WI 53215 | 2020-04-02 |
1053967091 | Kristina Strupp | Clinical Nurse Specialist | 2900 W. Oaklahoma Avenue, Milwaukee, WI 53215 | 2019-08-15 |
1427510296 | Madelyn Pickle | Student in an Organized Health Care Education/Training Program | 2801 W. Kinnickinnic Rd Ste 250, Milwaukee, WI 53215 | 2019-04-02 |
1932601838 | Elizabeth D Morawski | Nurse Practitioner | 2801 Kinnickinnic Parkway, Suite 630, Milwaukee, WI 53215 | 2018-03-06 |
1457872673 | Canzata Kimberly Dent | Counselor | 2727 W. Cleveland Suite 204, Milwaukee, WI 53215 | 2017-06-28 |
1538689955 | Christian Pena | Durable Medical Equipment & Medical Supplies | 2800 W Forest Home Ave, Suite 100, Milwaukee, WI 53215 | 2017-06-27 |
1386178804 | Dane A Olsen | Family Medicine | 801 W Kinnickinnic River Pkwy., Suite 250, Milwaukee, WI 53215 | 2017-04-12 |
1811443492 | Thomas Diamond | Physical Therapist | 2901 Kinnickinnic Parkway, Milwaukee, WI 53215 | 2016-09-01 |
1487055133 | Sam Khalili | Otolaryngology | 2801 W Kinnickinnic River Pkwy # 680, Milwaukee, WI 53215 | 2014-09-12 |
1992105621 | Nicole R Hall | Nurse Practitioner | 2901 S Kinnickinnic Ave, Milwaukee, WI 53215 | 2014-08-29 |
Find all providers in zip 53215 |
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 |
---|---|---|---|---|
1326039074 | William G Matthaeus | Internal Medicine | 1055 N Mayfair Rd, Milwaukee, WI 53226-3436 | 2005-11-02 |
1275536450 | John Pierrus Hanson Jr. | Internal Medicine | 2901 W Kinnickinnic River Pkwy, Ste 415, Milwaukee, WI 53215-3660 | 2005-05-23 |
1033662432 | Bicky Thapa | Internal Medicine | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2016-08-02 |
1700205549 | Tyce Jeffrey Kearl | Internal Medicine | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2014-04-09 |
1104244458 | Eden Biltibo | Internal Medicine | 9200 W Wisconsin Ave, Milwaukee, WI 53226 | 2014-04-03 |
1376982264 | Mandana Kamgar | Internal Medicine | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2013-06-24 |
1083956148 | Ariel Ann Nelson | Internal Medicine | 9200 W Wisconsin Ave, Clcc - Fifth Floor, Milwaukee, WI 53226-3522 | 2013-03-26 |
1073857876 | Ajit B Divgi M.d.,l.l.c. | Internal Medicine | 3267 S 16th St, Suite 208, Milwaukee, WI 53215-4500 | 2012-11-16 |
1104172329 | Guru Subramanian Guru Murthy | Internal Medicine | 9200 W Wisconsin Ave, Milwaukee, WI 53226 | 2012-07-25 |
1215282264 | Aditya Varnam Shreenivas | Internal Medicine | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2012-07-16 |
Find all providers in MILWAUKEE |
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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.