Active NPI
Traverse Area Hematology/Oncology P.C.
- Hematology & Oncology Physician
- Traverse City, MI
National Provider Identifier
1891760922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- Legal business name
- TRAVERSE AREA HEMATOLOGY/ONCOLOGY P.C.
- Practice address
- 5041 N Royal Dr
Suite 2
Traverse City, MI 49684-6986 - Phone
- (231) 935-0700
- Fax
- (231) 935-0704
- NPI assigned
- Feb 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard P Kosinski, MD
- Title
- President
- Phone
- (231) 935-0700
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | MI | Primary |
Addresses
Primary practice location
5041 N Royal Dr
Suite 2
Traverse City, MI 49684-6986
Mailing address
5041 N Royal Dr
Suite 2
Traverse City, MI 49684-6986
Phone (231) 935-0700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CL2274 | Other | MI | RR MEDICARE |
| 0B86037 | Other | MI | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
5041 N Royal Dr
Ste 2
Traverse City, MI 49684
Phone (231) 935-0700
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hematology & Oncology Physician
- Traverse City, MI
- NPI 1376510362
Hematology & Oncology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193788800000",
"number": "1891760922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5041 N ROYAL DR",
"address_2": "SUITE 2",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496846986",
"telephone_number": "231-935-0700",
"fax_number": "231-935-0704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5041 N ROYAL DR",
"address_2": "SUITE 2",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496846986",
"telephone_number": "231-935-0700",
"fax_number": "231-935-0704"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRAVERSE AREA HEMATOLOGY/ONCOLOGY P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-22",
"last_updated": "2007-10-31",
"status": "A",
"authorized_official_last_name": "KOSINSKI",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "231-935-0700",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "CL2274",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0B86037",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Traverse City, MI
- Cassandra Jeanne Trammel, MD
- Nicole Louise Tramontini-Gunn, MD
- Tranquil Beginnings Counseling
- Traverse Anesthesia Associates
- Traverse Anesthesia Associates, PC
- Traverse Area Pediatric and Adolescent Clinic PLC
- Traverse Bay Area Intermediate School District
- Traverse Bay Counseling & Wellness
- Traverse Bay Hospitalists, PLLC
- Traverse Bay Internal Medicine PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.