MONROE MEDICAL ASSOCIATES SC NPI 1386686145

NPI Information

NPI: 1386686145
Provider Name: MONROE MEDICAL ASSOCIATES, SC
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
1600 S LAKE PARK AVE
SUITE 1101
HOBART, IN
ZIP 46342
Phone: (219) 947-1795
Get Directions

MONROE MEDICAL ASSOCIATES, SC is a hematology and oncology internal medicine in Hobart, IN. The provider is 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. MONROE MEDICAL ASSOCIATES, SC NPI is 1386686145. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1600 S LAKE PARK AVE
SUITE 1101
HOBART, IN
ZIP 46342-641
Phone: (219) 947-1795

The provider's authorized official is Mark F Kozloff .
The authorized official title is Ceo / Senior Partner and has the following contact phone number (708) 339-4800.

The enumeration date for this NPI number is 6/12/2006 and was last updated on 10/7/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RH0003X	Internal Medicine	Hematology & Oncology	042003867	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	90001238	OTHER	INDIANA	BCBS IL
2	4269010005	MEDICARE NSC	INDIANA
3	100394430	MEDICAID	INDIANA
4	626820	MEDICARE ID-TYPE UNSPECIFIED	INDIANA	MCARE GROUP PROV #
5	CE1551	MEDICARE ID-TYPE UNSPECIFIED	INDIANA	R R MCRE GRP PROV #
6	437901	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	MCARE GROUP PROV #
7	CA8459	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	R R MCRE GRP PROV #
8	105630	OTHER	INDIANA	ANTHEM B S GRP PROV #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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