ALEXANDER C MINELLA NPI 1740365550

NPI Information

NPI: 1740365550
Provider Name: ALEXANDER C MINELLA
Classification: Internal Medicine - 207RH0003X
Entity Type: Individual

Specialization: Hematology & Oncology

PECOS Registration: Yes

Address:
9200 W WISCONSIN AVE
NEOPLASTIC DISEASES
MILWAUKEE, WI
ZIP 53226
Phone: (414) 805-4600
Get Directions

Alexander C Minella is a hematology and oncology internal medicine in Milwaukee, WI. 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. Alexander C Minella NPI is 1740365550. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9200 W WISCONSIN AVE
NEOPLASTIC DISEASES
MILWAUKEE, WI
ZIP 53226-522
Phone: (414) 805-4600
Fax: (414) 805-6890

The NPI 1740365550 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/27/2006 and was last updated on 12/8/2014.

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	MD00038742	WASHINGTON	No
2	207RH0003X	Internal Medicine	Hematology & Oncology	036.119156	ILLINOIS	No
3	207RH0003X	Internal Medicine	Hematology & Oncology	63107	WISCONSIN	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	I06971	MEDICARE UPIN
2	8395774	MEDICAID	WASHINGTON
3	233710	OTHER		INTERNAL ID-MOTOR VEHICLE ID
4	8803823	MEDICARE ID-TYPE UNSPECIFIED
5	1740365550	MEDICAID	WISCONSIN

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: 11/14/2023

NPI Synchronization or Removal

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