Monroe Medical Associates, SC

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

042003867 Issued in IL

Legal business name

MONROE MEDICAL ASSOCIATES, SC

Practice address

1600 S Lake Park Ave
Suite 1101
Hobart, IN 46342-6641

Phone

(219) 947-1795

NPI assigned

Jun 12, 2006

Organization subpart

No

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

Authorized official

Name

Mark F Kozloff, MD

Title

Ceo / Senior Partner

Phone

(708) 339-4800

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286409600000",
    "number": "1386686145",
    "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": "1600 S LAKE PARK AVE",
            "address_2": "SUITE 1101",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463426641",
            "telephone_number": "219-947-1795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE MEDICAL ASSOCIATES, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2010-10-07",
        "status": "A",
        "authorized_official_last_name": "KOZLOFF",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO / SENIOR PARTNER",
        "authorized_official_telephone_number": "708-339-4800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IL",
            "license": "042003867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100394430",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM B S GRP PROV #",
            "identifier": "105630",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IL",
            "identifier": "90001238",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Miller, FNP
• Gary Miller, RPH
• Jacquelyn Mitchell
• Mobile Healthcare of Northwest Indiana, LLC
• Arnulfo Mogato Jr., PMHNP-BC
• Amy N. Moorehead, M.S.
• Amy Kristin Mulcahy, PA-C
• John Paul Mulligan, MD
• Alan Mundakkal, DO
• Jessica Sue Neal, PTA

• Hematology & Oncology Physician in Hobart, IN
• Providers in Hobart, IN by specialty
• Hematology & Oncology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.