American Oncologic Associates of Michigan, PC
Organization Active NPI Radiation Oncology Physician · Madison Heights, MI
NPI 1104890102 · NPPES record last updated Jun 28, 2023
Key facts
- NPI
- 1104890102
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Radiation Oncology Physician 2085R0001X
- Legal business name
- AMERICAN ONCOLOGIC ASSOCIATES OF MICHIGAN, PC
- Practice address
- 30365 Dequindre Rd
Madison Heights, MI 48071-2200 - Phone
- (248) 589-5000
- NPI assigned
- Feb 15, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Jeffrey Margolis, MD
- Title
- Ceo
- Phone
- (248) 551-2446
Corporate family (same tax ID) 5
Member of 1
Practitioners 16
-
John Vito Antonucci, M.D.
-
Ahmed E. Ezz, MD
-
Michael I Ghilezan, MD, PHD
-
Krisha J Howell, M.D.
-
Kay T. Miller, M.D.
-
Simul D Parikh, MD
-
Frank A. Vicini, M.D.
-
Thomas Pence Boike, M.D.
-
Mark Jay Fireman, M.D.
-
Lucille M. Turner, PA-C
-
Jennifer L Webb, MD
-
Razvan N Gramatovici, M.D.
-
Laird Ekholm Olson, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040415001236 | MI | Part B Supplier - Clinic/Group Practice | 3577558980 |
Receives reassigned benefits from 11 practitioners Practice locations: Clarkston, MI; Dearborn, MI; Farmington Hills, MI; Macomb, MI; Madison Heights, MI; Pontiac, MI; Roseville, MI; Royal Oak, MI… |
National Provider Directory
- Tax ID family
- American Oncologic Associates of Michigan PC
Locations
75 Remittance Dr
Ste 2227
Chicago, IL 60675
29992 Northwestern Hwy
Farmington Hills, MI 48334
Phone (248) 735-8272
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician |
2085R0001X | Yes |
Addresses
Primary practice location
30365 Dequindre Rd
Madison Heights, MI 48071-2200
Mailing address
30000 Northwestern Hwy
Farmington Hills, MI 48334-3227
Phone (248) 974-2511
Other practice location 1
70 Fulton St
Pontiac, MI 48341-2755
Phone (248) 338-0300
Other names
- MHP Radiation Oncology Institute
- MIRO Cancer Centers
Other providers in Madison Heights, MI
- Olubunmi Oluremi Aluko
- Barbra Alvir
- Jelinda Alyacoub
- America'S Best Contacts & Eyeglasses
- American Home Care Inc
- Alexys Lorraine Anderson
- Jill Rochelle Anderson
- Anesthesia Services Associates, PC
- Maureen Tara Angeli
- Amy Emily Ansara
All providers in Madison Heights, MI · Radiation Oncology Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.