Active NPI
Michigan Oncology Associates PLLC
- Radiation Oncology Physician
- Pontiac, MI
National Provider Identifier
1992899280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- Legal business name
- MICHIGAN ONCOLOGY ASSOCIATES PLLC
- Practice address
- 461 West Huron Street
Pontiac, MI 48341 - Phone
- (248) 857-6717
- NPI assigned
- Oct 3, 2006
- Last updated
- Aug 22, 2020
- 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
- V Elayne Arterbery, MD
- Title
- President
- Phone
- (248) 857-6717
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | Primary |
Addresses
Primary practice location
461 West Huron Street
Pontiac, MI 48341
Mailing address
461 West Huron Street
Pontiac, MI 48341
Phone (248) 857-6717
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4855780 | Medicaid | MI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1992899280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "461 WEST HURON STREET",
"city": "PONTIAC",
"state": "MI",
"postal_code": "48341",
"telephone_number": "248-857-6717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "461 WEST HURON STREET",
"city": "PONTIAC",
"state": "MI",
"postal_code": "48341",
"telephone_number": "248-857-6717"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHIGAN ONCOLOGY ASSOCIATES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ARTERBERY",
"authorized_official_first_name": "V",
"authorized_official_middle_name": "ELAYNE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "248-857-6717",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Radiation Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4855780",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pontiac, MI
- Michigan Infectious Disease Consultants PC
- Michigan Institute for Radiation Oncology/Miro Cancer Center
- Michigan Institute of Neurology and Epilepsy PC
- Michigan Maternal Fetal Medicine PLC
- Michigan Moonlighters PLLC
- Michigan Ophthalmology Specialists, PLLC
- Michigan Radiation Institute LLC
- Michigan Services Network Inc
- Miles Grubb Associates LLC (Star EMS)
- Charmane Miles
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.