Cancer & Hematology Centers of Western Mi, P.C.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CANCER & HEMATOLOGY CENTERS OF WESTERN MI, P.C.

Practice address

710 Kenmoor Ave SE
Grand Rapids, MI 49546-2302

Phone

(616) 389-1800

NPI assigned

Apr 26, 2007

Last updated

Mar 4, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa Vincent

Title

Credentialing Specialist

Phone

(616) 560-3258

Specialties & licenses 1

Addresses

Other identifiers 10

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Cancer & Hematology Centers of Western Mi, P.C.

  dba Rheumatology Centers of Western Michigan

  • Rheumatology Physician
  • Grand Rapids, MI
  • NPI 1467017434

  O20031103000091

  Same enrollment
• Cancer & Hematology Centers of Western Mi, P.C.

  • Specialist
  • Grand Rapids, MI
  • NPI 1528018389

  O20031103000091

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Cancer Hematology CTRS3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Cancer & Hematology Centers of Western Mi, P.C.

  dba Cancer & Hematology Ctrs of Western MI

  • Community/Retail Pharmacy
  • Grand Rapids, MI
  • NPI 1700455276
  NPD tax ID
• Cancer & Hematology Centers of Western Mi, P.C.

  dba CHCWM Holland

  • Community/Retail Pharmacy
  • Holland, MI
  • NPI 1982264826
  NPD tax ID

Locations

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jihan Almayahi

  • Nurse Practitioner
  • Garden City, MI
  • NPI 1437887734
  NPD (past)
• Meghan Erica Bajjey, NURSE PRACTIONER

  • Nurse Practitioner
  • Detroit, MI
  • NPI 1407407133
  NPD (past)
• Joy Brothers Bartholomew

  • Family Nurse Practitioner
  • Grand Rapids, MI
  • NPI 1265498208
  NPD (past)
• Lisa Marie Berger, P.A.

  • Physician Assistant
  • Grand Rapids, MI
  • NPI 1497729172
  NPD (past)
• Kodi M Bone, PA-C

  • Physician Assistant
  • Ludington, MI
  • NPI 1184886012
  NPD (past)
• Anthony James Brandau, D.O.

  • Hematology & Oncology Physician
  • East Lansing, MI
  • NPI 1346560182
  NPD (past)
• Sreenivasa Chandana, MD

  • Hematology & Oncology Physician
  • Grand Rapids, MI
  • NPI 1972705838
  NPD (past)
• Claire Cornelus, PA-C

  • Physician Assistant
  • Grand Rapids, MI
  • NPI 1932080538
  NPD (past)
• Carmen Rasean Evans, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Southgate, MI
  • NPI 1053097733
  NPD (past)
• Rebecca Ann Gingerich, PA-C

  • Medical Physician Assistant
  • Grand Rapids, MI
  • NPI 1447544259
  NPD (past)
• Melissa Leanne Gust, AGNP-C

  • Nurse Practitioner
  • Grand Rapids, MI
  • NPI 1336805605
  NPD (past)
• Christina Marie Houck-Smith, MSN RN FNP-C

  • Family Nurse Practitioner
  • Holland, MI
  • NPI 1639733868
  NPD (past)

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772582400000",
    "number": "1386864080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 FOREMOST DR SE STE 300",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467062",
            "telephone_number": "616-954-9800",
            "fax_number": "616-954-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 KENMOOR AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462302",
            "telephone_number": "616-389-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12460 Riley St",
            "address_purpose": "LOCATION",
            "city": "Holland",
            "state": "MI",
            "postal_code": "494248217",
            "country_code": "US",
            "telephone_number": "616-399-6500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6255 Inkster Rd Ste 306",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "MI",
            "postal_code": "481352538",
            "country_code": "US",
            "telephone_number": "734-458-3279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "145 Michigan St NE",
            "address_2": "Suite 3100",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495032562",
            "country_code": "US",
            "telephone_number": "616-954-9800",
            "fax_number": "616-954-2116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15100 220th Ave",
            "address_purpose": "LOCATION",
            "city": "Big Rapids",
            "state": "MI",
            "postal_code": "493079248",
            "country_code": "US",
            "telephone_number": "231-515-9410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "302 Kensington Ave",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485032044",
            "country_code": "US",
            "telephone_number": "810-762-8400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18223 E 10 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "MI",
            "postal_code": "480665821",
            "country_code": "US",
            "telephone_number": "586-778-5880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6425 Harvey St",
            "address_purpose": "LOCATION",
            "city": "Norton Shores",
            "state": "MI",
            "postal_code": "494449739",
            "country_code": "US",
            "telephone_number": "231-737-3469",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1550 Watertower Pl Ste 500",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488238053",
            "country_code": "US",
            "telephone_number": "517-333-6060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5800 Foremost Dr SE Ste 100",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495467062",
            "country_code": "US",
            "telephone_number": "616-389-1561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CANCER & HEMATOLOGY CENTERS OF WESTERN MI, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A",
        "authorized_official_last_name": "VINCENT",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "616-560-3258"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "23D0973254",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "23D2125912",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "23D2314500",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "23D0923923",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "23D1081376",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "23D2277833",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "23D0675313",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "23D0873642",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "23D0929489",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "23D2235787",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Joy Campisi, MPT
• Katherine Berenice Campoverde Arevalo
• Angelica Rose Canales
• Victoria Canales
• Cancer & Hematology Centers of Western Mi, P.C. (The Cancer & Hematology Centers)
• Cancer & Hematology Centers of Western Mi, P.C. (Rheumatology Centers of Western Michigan)
• Cancer & Hematology Centers of Western Mi, P.C.
• Cancer & Hematology Centers of Western Mi, P.C. (Cancer & Hematology Ctrs of Western MI)
• Cancer and Hematology Centers of Western Mi, P.C. (Cancer & Hematology Ctrs of Western MI)
• Riley Candela

• Clinical Medical Laboratory in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Clinical Medical Laboratory in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.