Organization Active NPI

Traverse Area Hematology/Oncology P.C.

  • Hematology & Oncology Physician
  • Traverse City, MI
National Provider Identifier
1891760922
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
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

Updated by the provider on Oct 31, 2007

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

Authorized official

Name
Richard P Kosinski, MDNPI 1376510362
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)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
CL2274OtherMIRR MEDICARE
0B86037OtherMIBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.