Organization Active NPI

East Central Oncology Associates PLC

  • Hematology & Oncology Physician
  • Midland, MI
National Provider Identifier
1073508255
Registry record updated Jan 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
4301041385 Issued in MI
Legal business name
EAST CENTRAL ONCOLOGY ASSOCIATES PLC
Practice address
4011 Orchard Dr
Ste 1000
Midland, MI 48640-6190
Phone
(989) 631-3975
Fax
(989) 631-4844
NPI assigned
Sep 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michel Rene Hurtubise, MD
Title
President
Phone
(989) 631-3975

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X 4301041385 MI Primary

Addresses

Primary practice location

4011 Orchard Dr
Ste 1000
Midland, MI 48640-6190

Mailing address

4011 Orchard Dr
Ste 1000
Midland, MI 48640-6160
Phone (989) 631-3975

Other identifiers 3

IdentifierTypeStateIssuer
C14732OtherMIPALMETTO GBA RAILROAD MEDICARE
0298330001OtherMINATIONAL GOVERNMENT SERVICES INC
3523721MedicaidMI

National Provider Directory

National Provider Directory

Locations

4817 W Professional Dr
Bay City, MI 48706
Phone (989) 667-6491

4201 Campus Ridge Dr
Ste 1100
Midland, MI 48640
Phone (989) 631-3975

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1073508255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 ORCHARD DR",
            "address_2": "STE 1000",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406160",
            "telephone_number": "989-631-3975",
            "fax_number": "989-631-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 ORCHARD DR",
            "address_2": "STE 1000",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406190",
            "telephone_number": "989-631-3975",
            "fax_number": "989-631-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST CENTRAL ONCOLOGY ASSOCIATES PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-14",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "HURTUBISE",
        "authorized_official_first_name": "MICHEL",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-631-3975",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MI",
            "license": "4301041385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RAILROAD MEDICARE",
            "identifier": "C14732",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL GOVERNMENT SERVICES INC",
            "identifier": "0298330001",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3523721",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.