MICHIANA HEMATOLOGY-ONCOLOGY P C (NPI# 1942349345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942349345 |
| Entity Type | Organization |
| Organization Name | MICHIANA HEMATOLOGY-ONCOLOGY P C |
| Practice Address |
500 Arcade Ave Suite 240 Elkhart IN 46514-2477 |
| Mailing Address |
3975 William Richardson Dr South Bend IN 46628-9800 |
| Practice Telephone | 5743890414 |
| Practice Fax Number | 5743890380 |
| Mailing Telephone | 5742345123 |
| Mailing Fax Number | 5749688488 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2013-07-03 |
| Authorized Official Name | RAFAT H ANSARI (PRESIDENT) |
| Authorized Official Telephone | 5742345123 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | NSC | 1176700001 | 01 |
| IN | 100389430 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124303466 | Michiana Hematology-oncology P C | Obstetrics & Gynecology | 1205 S Main St, Suite 301, Crown Point, IN 46307-3676 | 2011-10-19 |
| 1487939732 | Michiana Hematology-oncology P C | Obstetrics & Gynecology | 615 N Michigan St, South Bend, IN 46601-1033 | 2011-10-19 |
| 1487793873 | Michiana Hematology-oncology P C | Durable Medical Equipment & Medical Supplies | 1915 Lake Ave, Plymouth, IN 46563-9366 | 2007-02-05 |
| 1881733293 | Michiana Hematology-oncology P C | Obstetrics & Gynecology | 1668 S Us Highway 421, Westville, IN 46391-9523 | 2007-02-05 |
| 1003955485 | Michiana Hematology-oncology P C | Obstetrics & Gynecology | 5340 Holy Cross Pkwy, Mishawaka, IN 46545-1470 | 2007-02-05 |
| Street Address |
500 ARCADE AVE SUITE 240 |
| City | ELKHART |
| State | IN |
| Zip Code | 46514-2477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326042102 | Gurudutt B. Kulkarni | Internal Medicine | 500 Arcade Ave, Ste 400, Elkhart, IN 46514-2477 | 2005-06-09 |
| 1215243704 | Jill J Newcomer | Nurse Practitioner | 500 Arcade Ave, Suite 400, Elkhart, IN 46514-2477 | 2010-08-23 |
| 1144464850 | Heather Kistka | Neurological Surgery | 500 Arcade Ave, Suite 200, Elkhart, IN 46514-2477 | 2009-04-24 |
| 1679717771 | Troy A Weirick | Internal Medicine | 500 Arcade Ave, Suite 400, Elkhart, IN 46514-2477 | 2009-04-21 |
| 1235384744 | Craig E. Meyer, M.d., F.a.c.s. | Clinic/Center | 500 Arcade Ave, Suite 210, Elkhart, IN 46514-2477 | 2008-11-25 |
| 1447406426 | Thomas P. Moretti | Physician Assistant | 500 Arcade Ave, Suite 400, Elkhart, IN 46514-2477 | 2008-08-11 |
| 1073771820 | Joseph B. Schnittker, Md, PC | Neurological Surgery | 500 Arcade Ave, Suite 110, Elkhart, IN 46514-2477 | 2008-05-29 |
| 1528245040 | Edwin Laryea Annan | Internal Medicine | 500 Arcade Ave, Suite 210, Elkhart, IN 46514-2477 | 2008-01-28 |
| 1649450164 | Keely N Anthony | Occupational Therapy Assistant | 500 Arcade Ave, Suite 300, Elkhart, IN 46514-2477 | 2007-11-13 |
| 1801921325 | Vijay A. Mehta | Internal Medicine | 500 Arcade Ave, Suite 400, Elkhart, IN 46514-2477 | 2007-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891333522 | Adam Collier | Nurse Anesthetist, Certified Registered | 600 Elkhart Boulvard, Elkhart, IN 46514 | 2019-12-12 |
| 1861034688 | Heart City Health Center, Inc. | Obstetrics & Gynecology | 1545 Cassopolis Street, Elkhart, IN 46514 | 2019-10-14 |
| 1982263398 | Fresenius Medical Care North Elkhart, LLC | Clinic/Center | 801 W Bristol St, Elkhart, IN 46514 | 2019-06-10 |
| 1487118220 | Hellenic Senior Living of Elkhart, LLC | Assisted Living Facility | 2528 Bypass Road, Elkhart, IN 46514 | 2019-01-25 |
| 1922595792 | Anna Cornelia Smith | Nutritionist | 51803 Tall Pines Dr, Elkhart, IN 46514 | 2018-04-17 |
| 1114438496 | Erika Lynn Farrell | Counselor | 3120 Suite B Windsor Court, Elkhart, IN 46514 | 2017-10-13 |
| 1740728948 | Michael Scheretie | Nurse Anesthetist, Certified Registered | 52866 Wildflower Ln, Elkhart, IN 46514 | 2017-02-08 |
| 1821355876 | Marcy Lynn Adams | Nurse Practitioner | 1104 W Bristol St, Elkhart, IN 46514 | 2012-04-16 |
| 1053694265 | Paul A. Price | Pharmacist | 1400 Cassopolis St., Elkhart, IN 46514 | 2011-09-23 |
| 1528362647 | Beacon Medical Group, Inc. | Internal Medicine | 500 Arcade Ave., Suite 400, Elkhart, IN 46514 | 2011-01-04 |
| Find all providers in zip 46514 | ||||
| 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 |
|---|---|---|---|---|
| 1215900311 | James Ou Jin | Internal Medicine | 303 S Nappanee St, Elkhart, IN 46514-2066 | 2006-02-09 |
| 1558364372 | Ahsanul Haque | Internal Medicine | 303 S Nappanee St, Elkhart, IN 46514-2066 | 2005-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134728553 | Infusion Center of Indiana LLC | Internal Medicine | 2150 Intelliplex Dr Ste 134b, Shelbyville, IN 46176-8550 | 2020-10-19 |
| 1659987832 | Vida Oncology LLC | Internal Medicine | 2150 Intelliplex Dr Ste 134, Shelbyville, IN 46176-8550 | 2020-09-22 |
| 1306256839 | Anne Catherine Meier | Internal Medicine | 1600 S Lake Park Ave Ste 1101, Hobart, IN 46342-6641 | 2014-05-06 |
| 1033451083 | Richard Brian Gaynor | Internal Medicine | Eli Lilly and Company Corporate Ctr, Indianapolis, IN 46285-0001 | 2013-03-17 |
| 1851697536 | Melhem Jabbour | Internal Medicine | 2723 S 7th St Ste O, Terre Haute, IN 47802-3562 | 2011-01-28 |
| 1760798326 | Redmond Prindiville Hogan IIi | Internal Medicine | 2808 W 44th St, Indianapolis, IN 46228-3147 | 2010-08-20 |
| 1720392798 | Mohammad Issam Abu Zaid | Internal Medicine | 535 Barnhill Drive, Rt 473, Indiana Univeristy/hematology Oncology, Indianapolis, IN 46202-5147 | 2010-08-02 |
| 1710112396 | Cancer Health Treatment Centers,p.c. | Internal Medicine | 104 Woodland Ct, Michigan City, IN 46360-7390 | 2009-05-26 |
| 1497998520 | Ashwin Kolala Vasudevamurthy | Internal Medicine | 8301 Harcourt Rd Ste 205, Indianapolis, IN 46260 | 2009-04-20 |
| 1386805307 | Vivian C Cook | Internal Medicine | 3699 Epworth Road, Newburgh, IN 47630-8909 | 2008-06-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MICHIANA HEMATOLOGY-ONCOLOGY P C.
| 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.