Blue Water Oncology PC

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

4301054609 Issued in MI

Legal business name

BLUE WATER ONCOLOGY PC

Practice address

2605 Electric Ave
Port Huron, MI 48060-6590

Phone

(810) 985-1670

Fax

(810) 982-9180

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Deborah Scheffler

Title

Office Manager

Phone

(810) 985-1670

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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.

• Timothy Clyde Cox, MD

  • Hematology & Oncology Physician
  • Petoskey, MI
  • NPI 1437260650
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619054160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 ELECTRIC AVE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480606590",
            "telephone_number": "810-985-1670",
            "fax_number": "810-982-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 ELECTRIC AVE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480606590",
            "telephone_number": "810-985-1670",
            "fax_number": "810-982-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE WATER ONCOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHEFFLER",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "810-985-1670"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MI",
            "license": "4301054609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS COMMON PROVIDER CODE",
            "identifier": "0G41029",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG7803",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blue Water Eye Care Associates PC
• Blue Water Internal Medicine, PC
• Blue Water Medical Massage PLLC
• Blue Water Medical PLLC
• Blue Water OB & GYN PC
• Blue Water Pharmacy LLC (Blue Water Pharmacy)
• Blue Water Pharmacy LLC
• Blue Water Physical Therapy, Inc.
• Blue Water Podiatry PC
• Blue Water Rad Onc, LLC

• Hematology & Oncology Physician in Port Huron, MI
• Providers in Port Huron, 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 Aug 22, 2020; 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.