Midwest Blood and Cancer Specialists, LLC

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

35-090413 Issued in OH

Legal business name

MIDWEST BLOOD AND CANCER SPECIALISTS, LLC

Practice address

2355 Derr Rd
Springfield, OH 45503-2439

Phone

(937) 398-1971

Fax

(937) 629-3601

NPI assigned

Apr 28, 2015

Last updated

Jun 12, 2015By 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

Jyothi Challa, MD

Title

Owner

Phone

(937) 398-1971

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1430179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434067200000",
    "number": "1720465818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 DERR RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455032439",
            "telephone_number": "937-398-1971",
            "fax_number": "937-629-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 DERR RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455032439",
            "telephone_number": "937-398-1971",
            "fax_number": "937-629-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST BLOOD AND CANCER SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-28",
        "last_updated": "2015-06-12",
        "status": "A",
        "authorized_official_last_name": "CHALLA",
        "authorized_official_first_name": "JYOTHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-398-1971",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OH",
            "license": "35-090413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2015; 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.