Provider Demographics
NPI:1922033562
Name:MEDICAL ONCOLOGY ASSOCIATES LLC
Entity Type:Organization
Organization Name:MEDICAL ONCOLOGY ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEMATOLOGIST ONCOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BETH
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:LAYHE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:517-272-1950
Mailing Address - Street 1:2901 STABLER ST
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48910-3022
Mailing Address - Country:US
Mailing Address - Phone:517-272-1950
Mailing Address - Fax:517-272-1961
Practice Address - Street 1:2901 STABLER ST
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48910-3022
Practice Address - Country:US
Practice Address - Phone:517-272-1950
Practice Address - Fax:517-272-1961
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2009-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101008862207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIPDG2940OtherMEDICARE RAILROAD
MIPDG2940OtherMEDICARE RAILROAD