Organization Active NPI

Jeffrey P. Letzer, DO, PLC. Dba Kalamazoo Hematology & Oncology

Doing business as Kalamazoo Hematology & Oncology

  • Hematology & Oncology Physician
  • Kalamazoo, MI
National Provider Identifier
1114962644
Registry record updated Feb 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
JL010182 Issued in MI
Legal business name
JEFFREY P. LETZER, DO, PLC. DBA KALAMAZOO HEMATOLOGY & ONCOLOGY
Doing business as
Kalamazoo Hematology & Oncology
Practice address
1634 Gull Rd
Suite 103
Kalamazoo, MI 49048
Phone
(269) 341-9200
Fax
(269) 341-4197
NPI assigned
Jun 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2010

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

Authorized official

Name
Jeffrey P. Letzer, D.O.NPI 1760481766
Title
Owner
Phone
(269) 341-9200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RH0003X
Hematology & Oncology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RH0003X JL010182 MI Primary

Addresses

Primary practice location

1634 Gull Rd
Suite 103
Kalamazoo, MI 49048

Mailing address

1634 Gull Rd
Suite 103
Kalamazoo, MI 49048
Phone (269) 341-9200

Other identifiers 5

IdentifierTypeStateIssuer
01008954OtherMIHEALTHPLUS OF MICHIGAN
053OtherMICARE SOURCE MEDICAID HMO
0N89040OtherMIMEDICARE PLUS BLUE MICHIGAN
110C912010OtherMIBLUE CROSS BLUE SHIELD OF MICHIGAN
4290016MedicaidMI

Other names 1

  • Kalamazoo Hematology & Oncology Doing business as

National Provider Directory

National Provider Directory

Locations

1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165

1634 Gull Rd
Uppr 103
Kalamazoo, MI 49048
Phone (269) 341-9200

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": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265587200000",
    "number": "1114962644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1634 GULL RD",
            "address_2": "SUITE 103",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "49048",
            "telephone_number": "269-341-9200",
            "fax_number": "269-341-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 GULL RD",
            "address_2": "SUITE 103",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "49048",
            "telephone_number": "269-341-9200",
            "fax_number": "269-341-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY P. LETZER, DO, PLC. DBA KALAMAZOO HEMATOLOGY & ONCOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2010-02-08",
        "status": "A",
        "authorized_official_last_name": "LETZER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-341-9200",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MI",
            "license": "JL010182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPLUS OF MICHIGAN",
            "identifier": "01008954",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE SOURCE MEDICAID HMO",
            "identifier": "053",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PLUS BLUE MICHIGAN",
            "identifier": "0N89040",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
            "identifier": "110C912010",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4290016",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kalamazoo Hematology & Oncology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; 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.