Downriver Cancer Center

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

065057 Issued in MI

Legal business name

DOWNRIVER CANCER CENTER

Doing business as

Josephine Ford Cancer Center

Practice address

19675 Allen Rd
Brownstown TWP, MI 48183-1021

Phone

(734) 479-3311

Fax

(734) 479-8009

NPI assigned

Oct 20, 2005

Last updated

May 29, 2013By 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

Mrs. Amy Esposito

Title

Group Practice Dir.

Phone

(313) 916-2803

Specialties & licenses 2

Addresses

Other identifiers 6

Other names 1

• Josephine Ford Cancer Center Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Henry Ford Health System

  dba Henry Ford Royal Oak Pharmacy

  • Community/Retail Pharmacy
  • Royal Oak, MI
  • NPI 1013686492

  Member Of

  NPD member

Practitioners 3

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.

• Munther I. Ajlouni, M.D.

  • Radiation Oncology Physician
  • Grosse Pointe Park, MI
  • NPI 1134297724
  NPD (past)
• Susan M Laing, MD

  • Radiation Oncology Physician
  • Spokane, WA
  • NPI 1164414785
  NPD (past)
• Samuel Ryu, M.D.

  • Radiation Oncology Physician
  • Stony Brook, NY
  • NPI 1639239049
  NPD (past)

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369785600000",
    "number": "1528057692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19675 ALLEN RD",
            "city": "BROWNSTOWN TWP",
            "state": "MI",
            "postal_code": "481831021",
            "telephone_number": "734-479-3311",
            "fax_number": "734-479-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19675 ALLEN RD",
            "city": "BROWNSTOWN TWP",
            "state": "MI",
            "postal_code": "481831021",
            "telephone_number": "734-479-3311",
            "fax_number": "734-479-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNRIVER CANCER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-20",
        "last_updated": "2013-05-29",
        "status": "A",
        "authorized_official_last_name": "ESPOSITO",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "GROUP PRACTICE DIR.",
        "authorized_official_telephone_number": "313-916-2803",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MI",
            "license": "402608",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MI",
            "license": "065057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "320H210170",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT LAKES HEALTH PLAN",
            "identifier": "4476493",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDWEST HEALTH PLAN",
            "identifier": "018870",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4476493",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE PLAN",
            "identifier": "OM11130",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3156435",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Josephine Ford Cancer Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wael Hussein Dabaja, D.O.
• Kenneth Jerome Dennis
• Andrew Joseph Dettore, D.O.
• Jignesh Dhananjay Dhrangadharia, P.T
• Discount Drugs LLC (Discount Drugs)
• Downriver Operations, LLC (Elmcroft of Downriver)
• Downriver Pediatric Associates P.C.
• Downriver Specialists, P.C.
• Renita Jon Elder-Robinson, APRN, FNP-BC
• Eleni Callis DDS PLLC

• Radiation Oncology Physician in Brownstown TWP, MI
• Providers in Brownstown TWP, MI by specialty
• Radiation Oncology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; 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.