Active NPI
Monroe Medical Associates SC PC
- Hematology & Oncology Physician
- Munster, IN
National Provider Identifier
1003078817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 036056161
- Legal business name
- MONROE MEDICAL ASSOCIATES SC PC
- Practice address
- 9250 Columbia Ave
Suite D2
Munster, IN 46321-3538 - Phone
- (219) 836-7763
- NPI assigned
- Jul 2, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark F Kozloff, MD
- Title
- President
- Phone
- (708) 339-4800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 036056161 | IN | Primary |
Addresses
Primary practice location
9250 Columbia Ave
Suite D2
Munster, IN 46321-3538
Mailing address
801 Macarthur Blvd
Suite 401
Munster, IN 46321-2915
Phone (219) 836-2860
National Provider Directory
National Provider DirectoryLocations
9250 Columbia Ave
Ste 2D
Munster, IN 46321
Phone (219) 836-7763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214956800000",
"number": "1003078817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 MACARTHUR BLVD",
"address_2": "SUITE 401",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463212915",
"telephone_number": "219-836-2860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9250 COLUMBIA AVE",
"address_2": "SUITE D2",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463213538",
"telephone_number": "219-836-7763"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONROE MEDICAL ASSOCIATES SC PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-02",
"last_updated": "2008-07-02",
"status": "A",
"authorized_official_last_name": "KOZLOFF",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "708-339-4800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "IN",
"license": "036056161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Munster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.