Michigan Oncology Hematology, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

MICHIGAN ONCOLOGY HEMATOLOGY, PLLC

Practice address

1030 Harrington St
Suite 103
Mount Clemens, MI 48043-2967

Phone

(586) 493-3597

NPI assigned

Nov 13, 2006

Last updated

Aug 22, 2020By 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

Michael David Henderson, M.D.

Title

President

Phone

(586) 493-3597

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790856565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 HARRINGTON ST",
            "address_2": "SUITE 103",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432967",
            "telephone_number": "586-493-3597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 HARRINGTON ST",
            "address_2": "SUITE 103",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432967",
            "telephone_number": "586-493-3597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN ONCOLOGY HEMATOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-493-3597",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Sherbin DO PC
• Michael W Tawney DO PC
• Nicholas Joseph Michel, DO
• Michigan Neurology, P.L.L.C.
• Michigan Oncology Hematology PLLC
• Geralynn M Mickiewicz, R.N.
• Midwest Hospitalists
• Dawn Miller, LMSW
• Heather Ann Milodrowski, MA, LPC, NCC, CMW
• Kristijan Minanov, MD

• Specialist in Mount Clemens, MI
• Providers in Mount Clemens, MI by specialty
• Specialist 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.