Northern Oncology Services PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

4301038152 Issued in MI

Legal business name

NORTHERN ONCOLOGY SERVICES PLLC

Practice address

515 Michigan St NE
Suite 301
Grand Rapids, MI 49503-5721

Phone

(616) 456-8115

Fax

(616) 456-1079

NPI assigned

Mar 6, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Lawrence E Pawl, M.D.

Title

President

Phone

(616) 456-8115

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Medical Specialty Associates PC Former legal business name

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339372800000",
    "number": "1851561773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 MICHIGAN ST NE",
            "address_2": "SUITE 301",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495035721",
            "telephone_number": "616-456-8115",
            "fax_number": "616-456-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 MICHIGAN ST NE",
            "address_2": "SUITE 301",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495035721",
            "telephone_number": "616-456-8115",
            "fax_number": "616-456-1079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN ONCOLOGY SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2012-06-11",
        "status": "A",
        "authorized_official_last_name": "PAWL",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-456-8115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301038152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2991200",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Specialty Associates PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• North Kent Guidance Services LLC
• North Kent Guidance Services LLC
• North Park Family Dental PLLC
• North Pines Dentistry PLLC
• Northern Behavioral Solutions LLC
• Northfield Podiatry Associates P C
• Northland Hearing Centers, Inc.
• Northpointe Dental and Implant Center of Wyoming PLLC
• Northpointe Family Dental
• Northside Chiropractic LLC

• Specialist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; 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.