Active NPI
Jeffrey P. Letzer, DO, PLC. Dba Kalamazoo Hematology & Oncology
Doing business as Kalamazoo Hematology & Oncology
- Hematology & Oncology Physician
- Kalamazoo, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- JL010182
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey P. Letzer, D.O.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | |||
| Hematology & Oncology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01008954 | Other | MI | HEALTHPLUS OF MICHIGAN |
| 053 | Other | MI | CARE SOURCE MEDICAID HMO |
| 0N89040 | Other | MI | MEDICARE PLUS BLUE MICHIGAN |
| 110C912010 | Other | MI | BLUE CROSS BLUE SHIELD OF MICHIGAN |
| 4290016 | Medicaid | MI |
Other names 1
- Kalamazoo Hematology & Oncology
National Provider Directory
National Provider DirectoryLocations
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.
-
- Hematology & Oncology Physician
- Fort Wayne, IN
- NPI 1760481766
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.