NPIMap

Organization Active NPI

Genesee Cancer and Blood Disease Treatment Center PC

  • Hematology & Oncology Physician
  • Flint, MI
National Provider Identifier
1912068453
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
GENESEE CANCER AND BLOOD DISEASE TREATMENT CENTER PC
Practice address
302 Kensington Ave
Flint, MI 48503
Phone
(810) 762-8400
Fax
(810) 762-8116
NPI assigned
Dec 12, 2006
Last updated
May 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Authorized official

Name
Rizwan Danish, MDNPI 1720076284
Title
Office President
Phone
(810) 762-8400

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 Physician 207RH0003X MI Primary

Addresses

Primary practice location

302 Kensington Ave
Flint, MI 48503

Mailing address

302 Kensington Ave
Flint, MI 48503
Phone (810) 762-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040917001201 MI Part B Supplier - Clinic/Group Practice 3173591138 Receives reassigned benefits from 6 practitioners
Practice locations: Flint, MI

National Provider Directory

National Provider Directory

Locations

G1071 N Ballenger Hwy
Ste 311
Flint, MI 48504
Phone (810) 221-7057

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1912068453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 KENSINGTON AVE",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48503",
            "telephone_number": "810-762-8400",
            "fax_number": "810-762-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 KENSINGTON AVE",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48503",
            "telephone_number": "810-762-8400",
            "fax_number": "810-762-8116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESEE CANCER AND BLOOD DISEASE TREATMENT CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "DANISH",
        "authorized_official_first_name": "RIZWAN",
        "authorized_official_title_or_position": "OFFICE PRESIDENT",
        "authorized_official_telephone_number": "810-762-8400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.