NORTHERN ONCOLOGY SERVICES PLLC NPI 1851561773

NPI Information

  • NPI: 1851561773
  • Provider Name: NORTHERN ONCOLOGY SERVICES PLLC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Former Legal Business Name: MEDICAL SPECIALTY ASSOCIATES PC
  • Address: 515 MICHIGAN ST NE
    SUITE 301
    GRAND RAPIDS, MI
    ZIP 49503
  • Phone: (616) 456-8115

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NPI Details

NORTHERN ONCOLOGY SERVICES PLLC is a specialist in Grand Rapids, MI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. NORTHERN ONCOLOGY SERVICES PLLC NPI is 1851561773. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Medical Specialty Associates Pc.

The provider's business location address is:

515 MICHIGAN ST NE
SUITE 301
GRAND RAPIDS, MI
ZIP 49503-721
Phone: (616) 456-8115
Fax: (616) 456-1079

The provider's authorized official is Lawrence E Pawl .
The authorized official title is President and has the following contact phone number (616) 456-8115.

The enumeration date for this NPI number is 3/6/2008 and was last updated on 6/11/2012.

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
1174400000XSpecialist4301038152MICHIGANYes

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
1M84460001MEDICARE PINMICHIGAN
2B46070MEDICARE UPINMICHIGAN
32991200MEDICAIDMICHIGAN
40M84460MEDICARE PINMICHIGAN

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: 11/21/2025

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