MIDWEST BLOOD AND CANCER SPECIALISTS, LLC (NPI# 1720465818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720465818 |
| Entity Type | Organization |
| Organization Name | MIDWEST BLOOD AND CANCER SPECIALISTS, LLC |
| Practice Address |
2355 Derr Rd Springfield OH 45503-2439 |
| Practice Telephone | 9373981971 |
| Practice Fax Number | 9376293601 |
| Mailing Telephone | 9373981971 |
| Mailing Fax Number | 9376293601 |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2015-06-12 |
| Authorized Official Name | JYOTHI CHALLA (OWNER) |
| Authorized Official Telephone | 9373981971 |
| 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 |
35-090413 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
2355 DERR RD |
| City | SPRINGFIELD |
| State | OH |
| Zip Code | 45503-2439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598778805 | Challa Ajit | Internal Medicine | 2355 Derr Rd, Springfield, OH 45503-2433 | 2006-08-15 |
| 1659888907 | Heidi Michelle Thompson | Nurse Practitioner | 2355 Derr Rd, Springfield, OH 45503-2439 | 2018-01-09 |
| 1902238801 | Heather Nicole Holfinger | Nurse Practitioner | 2355 Derr Rd, Springfield, OH 45503-2439 | 2013-08-01 |
| 1063769826 | Jessica Lynne Quesenberry | Registered Nurse | 2355 Derr Rd, Springfield, OH 45503-2439 | 2012-08-12 |
| 1568765048 | Mid West Anesthesia LLC | Anesthesiology | 2355 Derr Rd, Springfield, OH 45503-2439 | 2010-12-06 |
| 1740424944 | Gastro Care, LLC | Clinic/Center | 2355 Derr Rd, Springfield, OH 45503-2433 | 2009-05-01 |
| 1629142815 | Challa Ajit, M.d. LLC | Internal Medicine | 2355 Derr Rd, Springfield, OH 45503-2433 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093182727 | Future Plan LLC Dba Home Instead Senior Care | In Home Supportive Care | 333 Mt Vernon Ave, Springfield, OH 45503 | 2015-08-28 |
| 1740665280 | Paulette Thomas | Occupational Therapy Assistant | 722 Patrick Road, Springfield, OH 45503 | 2015-07-27 |
| 1912391400 | Nanditha Alamelu Ranganathan | Student in an Organized Health Care Education/Training Program | 2655 Ballydoyle Dr., Springfield, OH 45503 | 2015-03-24 |
| 1598102568 | Careplus Home Healthcare | Registered Nurse | 802 N. Limestone St, Spfld, OH 45503 | 2013-05-30 |
| 1407120033 | Janice Louise Foster | Home Health Aide | 3131 Erter Drive, Springfield, OH 45503 | 2012-02-29 |
| 1306123112 | David P. Comer | Physician Assistant | 2600 N Limestone St Fl 2, Springfield, OH 45503 | 2011-11-08 |
| 1689953564 | Family Dental Care | Dentist | 1240 E. Main St, Springfield, OH 45503 | 2011-08-10 |
| 1942539317 | Latonia Marie Montgomery | Licensed Vocational Nurse | 2350 North Limestone #10, Springfield, OH 45503 | 2009-12-15 |
| 1518139385 | Springfield Eye Group LLC | Optometrist | 1674 North Limestone St, Springfield, OH 45503 | 2008-04-01 |
| 1457543951 | Kara Nicole Miller | Physician Assistant | 2600 N. Limestone, 2nd Floor, Springfield, OH 45503 | 2007-08-17 |
| Find all providers in zip 45503 | ||||
| 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 |
|---|---|---|---|---|
| 1700071008 | Shravan Kumar Narmala | Internal Medicine | 2055 S Fremont Ave Ste 1000, Springfield, MO 65804-2206 | 2007-09-10 |
| 1356447288 | John Thomas Fitzharris | Internal Medicine | 3377 Riverbend Dr Ste 500, Springfield, OR 97477-8802 | 2006-09-16 |
| 1881637049 | Namita Vinayek | Internal Medicine | 900 N 1st Street, Springfield, IL 62702 | 2006-06-14 |
| 1285692178 | Tennessee Oncology Pllc | Internal Medicine | 480 Northcrest Dr, Ste 400, Springfield, TN 37172-3972 | 2006-05-02 |
| 1801879762 | Timothy A Johnson | Internal Medicine | 271 Carew Street, Springfield, MA 01104 | 2005-11-23 |
| 1609865294 | Meghna Ramesh Desai | Internal Medicine | 315 W Carpenter St Fl 1, Springfield, IL 62702-4901 | 2005-10-17 |
| 1235128109 | Krishna A Rao | Internal Medicine | 415 N 9th St, Springfield, IL 62702-5317 | 2005-10-13 |
| 1285232140 | Daniella Greaves | Internal Medicine | 385 Morris Ave, Springfield, NJ 07081-1151 | 2020-10-13 |
| 1932645744 | Lester E Cox Medical Centers | Internal Medicine | 3850 S National Ave, Springfield, MO 65807-5287 | 2017-01-18 |
| 1477908788 | Effingham Physician Practices, LLC | Internal Medicine | 459 Hwy 119 S, Ste B, Springfield, GA 31329-3021 | 2016-04-25 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 45503 |
Please comment or provide details below to improve the information on MIDWEST BLOOD AND CANCER SPECIALISTS, LLC.
| 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.