Michiana Hematology-Oncology P C

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

Legal business name

MICHIANA HEMATOLOGY-ONCOLOGY P C

Practice address

1668 S US Highway 421
Westville, IN 46391-9523

Phone

(219) 785-3400

Fax

(219) 785-3401

NPI assigned

Feb 5, 2007

Organization subpart

No

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

Authorized official

Name

Rafat H Ansari, M.D.

Title

President

Phone

(574) 234-5123

Specialties & licenses 3

Addresses

Other identifiers 2

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372809600000",
    "number": "1881733293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3975 WILLIAM RICHARDSON DR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466289800",
            "telephone_number": "574-234-5123",
            "fax_number": "574-968-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1668 S US HIGHWAY 421",
            "city": "WESTVILLE",
            "state": "IN",
            "postal_code": "463919523",
            "telephone_number": "219-785-3400",
            "fax_number": "219-785-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIANA HEMATOLOGY-ONCOLOGY P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2013-07-03",
        "status": "A",
        "authorized_official_last_name": "ANSARI",
        "authorized_official_first_name": "RAFAT",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-234-5123",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100389430",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NSC",
            "identifier": "1176700001",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher K. Kesling, D.D.S. ,M.S.
• La Porte Regional Physician Network, Inc.
• Laboratory Corporation of America Holdings
• Lippelt Clinical and Sports Nutrition LLC
• Michael Lippelt, R.D.
• MSD of New Durham Township
• Brenda Noe
• Sharon Orenick, L.C.S.W.
• Dishita B Patel, NP
• Kristi Rae Paull, FNP

• Hematology & Oncology Physician in Westville, IN
• Providers in Westville, IN by specialty
• Hematology & Oncology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; 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.