| Northwest Cancer Centers, Pc | |
|
1001 Calumet Ave Dyer IN 46311-1596 | |
| (219) 924-8178 | |
| (219) 924-8193 |
| Full Name | Northwest Cancer Centers, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1001 Calumet Ave, Dyer, Indiana |
| Authorized Official Name and Position | Mohamad Kassar (PRESIDENT) |
| Authorized Official Contact | 2199248178 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Cancer Centers, Pc 1001 Calumet Ave Dyer IN 46311-1596 Ph: (219) 924-8178 | Northwest Cancer Centers, Pc 1001 Calumet Ave Dyer IN 46311-1596 Ph: (219) 924-8178 |
| NPI Number | 1578527826 |
|---|---|
| Provider Enumeration Date | 04/13/2006 |
| Last Update Date | 12/28/2021 |
| Medicare PECOS PAC ID | 4587553474 |
|---|---|
| Medicare Enrollment ID | O20040310001213 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578527826 | NPI | - | NPPES |
| 200448210 | Medicaid | IN |
| Provider Name | Jayne M Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518929561 PECOS PAC ID: 3173594934 Enrollment ID: I20040804001031 |
| Provider Name | Lisa C Danko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689636193 PECOS PAC ID: 5294703211 Enrollment ID: I20040917000856 |
| Provider Name | George E Sloan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1124097993 PECOS PAC ID: 0244292613 Enrollment ID: I20041028000285 |
| Provider Name | Mohamad Kassar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1063691830 PECOS PAC ID: 3678553674 Enrollment ID: I20080129000723 |
| Provider Name | Peter K Tothy |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1023157278 PECOS PAC ID: 5698705242 Enrollment ID: I20080912000083 |
| Provider Name | Sameer Sharma |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1033278056 PECOS PAC ID: 9739197138 Enrollment ID: I20080929000004 |
| Provider Name | Olusola O Ogundipe |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1194849901 PECOS PAC ID: 4284735507 Enrollment ID: I20081107000519 |
| Provider Name | Hubert Fornalik |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1255549812 PECOS PAC ID: 8224119128 Enrollment ID: I20100730000661 |
| Provider Name | Barbara L Fuller |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1972545804 PECOS PAC ID: 4688655913 Enrollment ID: I20120104000833 |
| Provider Name | Eduardo Braun |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1144486309 PECOS PAC ID: 1951545169 Enrollment ID: I20130910000042 |
| Provider Name | Neel B Shah |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1356508915 PECOS PAC ID: 9032243464 Enrollment ID: I20140707001084 |
| Provider Name | Melissa E Krzus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205243524 PECOS PAC ID: 3173742004 Enrollment ID: I20140908002361 |
| Provider Name | Amanda Nakashian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558783019 PECOS PAC ID: 2567681158 Enrollment ID: I20140912001470 |
| Provider Name | Rebekah Jennifer Vega |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164814851 PECOS PAC ID: 7517284805 Enrollment ID: I20150325002276 |
| Provider Name | Maria Marrero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396122784 PECOS PAC ID: 2860703360 Enrollment ID: I20150625000432 |
| Provider Name | Gowri Ramadas |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1528294998 PECOS PAC ID: 4880906825 Enrollment ID: I20150706001950 |
| Provider Name | Sania S Raza |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1396974457 PECOS PAC ID: 3971795105 Enrollment ID: I20150720001883 |
| Provider Name | Amer Sidani |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1790948180 PECOS PAC ID: 5799962817 Enrollment ID: I20150727000272 |
| Provider Name | Kristopher A Renzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164876447 PECOS PAC ID: 9537451109 Enrollment ID: I20160630001601 |
| Provider Name | Michael Tallarico |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467773036 PECOS PAC ID: 1759684699 Enrollment ID: I20170802003308 |
| Provider Name | Amanda Meyers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235698408 PECOS PAC ID: 7214279058 Enrollment ID: I20190429000189 |
| Provider Name | Shruti Singh |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1619210143 PECOS PAC ID: 4486958899 Enrollment ID: I20190909003607 |
| Provider Name | Rajul Kothari |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1518160720 PECOS PAC ID: 3870753965 Enrollment ID: I20190912001047 |
| Provider Name | Rozina A Chowdhery |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1295978682 PECOS PAC ID: 0345556346 Enrollment ID: I20190926000158 |
| Provider Name | Erica L Deenihan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861033060 PECOS PAC ID: 0244666972 Enrollment ID: I20200128003080 |
| Provider Name | Dorothy M Dewitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306477310 PECOS PAC ID: 2163850215 Enrollment ID: I20200324000719 |
| Provider Name | Anne Meier |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1306256839 PECOS PAC ID: 3577893353 Enrollment ID: I20200608001539 |
| Provider Name | Tami Clinkenbeard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033748736 PECOS PAC ID: 6204247570 Enrollment ID: I20201118001933 |
| Provider Name | Michele Christine Kotis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073180139 PECOS PAC ID: 4183026198 Enrollment ID: I20220105001079 |
Sun Health Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 618 Shannon Brg, Dyer, IN 46311 Phone: 732-335-6515 Fax: 732-305-8026 | |
Skin Cancer Care Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 919 Main Street, Dyer, IN 46311 Phone: 219-934-2495 | |
Community House Call Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 905 Joliet St, Dyer, IN 46311 Phone: 844-546-8732 Fax: 708-529-2592 | |
Informe Hc Specialists, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2300 Great Lakes Dr, Dyer, IN 46311 Phone: 219-322-3555 Fax: 888-724-0875 | |
Gentile Healthcare , P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Main St, Suite 2e, Dyer, IN 46311 Phone: 219-865-9160 Fax: 219-865-9251 | |
None Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1100 Joliet St Ste 201, Dyer, IN 46311 Phone: 630-974-1400 Fax: 888-466-3320 | |
Jerome E. March, D.o. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Monticello Dr, Dyer, IN 46311 Phone: 219-865-1595 Fax: 219-865-1680 |