Macomb Hematology Oncology

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

ET040673 Issued in MI

Legal business name

MACOMB HEMATOLOGY ONCOLOGY

Practice address

11900 E 12 Mile Rd
Suite 210
Warren, MI 48093-3400

Phone

(586) 558-4700

Fax

(586) 558-4706

NPI assigned

Jun 3, 2006

Last updated

Jul 17, 2009By 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

Dr. Efstathios Tapazoglou, MDNPI 1821070798

Title

Provider

Phone

(586) 558-4700

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Efstathios S Tapazoglou, M.D.

  • Hematology & Oncology Physician
  • Warren, MI
  • NPI 1821070798
  Authorized official Same address or phone

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247788800000",
    "number": "1609814631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 BALFOUR ST",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "482301327",
            "telephone_number": "586-558-4700",
            "fax_number": "586-558-4706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 E 12 MILE RD",
            "address_2": "SUITE 210",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933400",
            "telephone_number": "586-558-4700",
            "fax_number": "586-558-4706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACOMB HEMATOLOGY ONCOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2009-07-17",
        "status": "A",
        "authorized_official_last_name": "TAPAZOGLOU",
        "authorized_official_first_name": "EFSTATHIOS",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "586-558-4700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MI",
            "license": "ET040673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102880283",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Macomb County Community Mental Health
• Macomb County Health Department
• Macomb Family Lab Services LLC
• Macomb Hearing Aid Center
• Macomb Hearing Aid Center L.L.C.
• Macomb Internal Med Ctr PC
• Macomb Medical and Wellness Center PLLC (Macomb Medical and Wellness C)
• Macomb Neurology Associates PC
• Macomb Pediatric Associatea P.C
• Macomb Surgical Specialists,PLC

• Hematology & Oncology Physician in Warren, MI
• Providers in Warren, MI by specialty
• Hematology & Oncology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2009; 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.