Michiana Hematology-oncology, P.c. is a Non-Pharmacy Dispensing Site based in South Bend, IN. Michiana Hematology-oncology, P.c. practices in Mishawaka, IN. The NPI Number for Michiana Hematology-oncology, P.c. is 1619970183 and holds a License No. (Indiana).
The current practice location address for Michiana Hematology-oncology, P.c. is 5340 Holy Cross Pkwy, Mishawaka, IN and can be reached out via phone at 574-237-1328 and via fax at 574-237-1348. You can also correspond with Michiana Hematology-oncology, P.c. through the mailing address at PO BOX 448, SOUTH BEND, IN - 46624-0448 (mailing address contact number: 574-334-5390).
Location: 5340 Holy Cross Pkwy, Mishawaka, IN, 46624-0448
Provider Profile Details
NPI Number
1619970183
Provider Name
Michiana Hematology-oncology, P.c.
Credential
Provider Entity Type
Organization
Address
5340 Holy Cross Pkwy, Mishawaka, IN, 46624-0448
Phone Number
574-237-1328
Fax Number
574-237-1348
Provider Enumeration Date
05/27/2005
Last Update Date
02/01/2018
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100389430J | 05 | IN | |
| 100389430C | 05 | IN | |
| 100389430P | 05 | IN | |
| 300009110 | 05 | IN | |
| 100389430K | 05 | IN | |
| 100389430M | 05 | IN | |
| CB52227 | 01 | IN | RRMC |
| 100389430H | 05 | IN | |
| 1560297 | 01 | IN | NCPDP |
| 100389430N | 05 | IN |
Provider Business Practice Location Address Details
Address
5340 Holy Cross Pkwy
City
State
Zip
46545-1470
Phone Number
574-237-1328
Fax Number
574-237-1348
Provider Business Mailing Address Details
Address
Po Box 448
City
State
Zip
46624-0448
Phone Number
574-334-5390
Fax Number
574-334-5368
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
License No.
()
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Medical Oncology
Taxonomy
License No.
()
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecologic Oncology
Taxonomy
License No.
()
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
License No.
()
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Provider's Taxonomy Details 5
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
License No.
()
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Provider's Taxonomy Details 6
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
