GRASS VALLEY HEMATOLOGY/ONCOLOGY MED GRP - NPI 1720035561 - Internal Medicine in Grass Valley, CA

Q: What is Grass Valley Hematology/Oncology Med Grp's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

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About Grass Valley Hematology/oncology Med Grp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRASS VALLEY HEMATOLOGY/ONCOLOGY MED GRP (NPI 1720035561) is a healthcare organization registered as a hematology & oncology in Grass Valley, California and active in the NPI registry since May 2006. The organization lists David Lawrence Campbell, Partner, as its authorized official.

NPPES Registry Identity

NPI1720035561

Entity TypeOrganization

Primary Taxonomy207RH0003X

Legal Business NameGRASS VALLEY HEMATOLOGY/ONCOLOGY MED GRP

Location Address155 GLASSON WAY, SUITE L10Grass Valley, CA 95945-5723

Mailing AddressPo Box 1549Grass Valley, CA 95945-1549 · (530) 274-6677 · Fax (530) 274-6678

Phone(530) 274-6677

Fax(530) 274-6678

Organization SubpartNo

Authorized OfficialDavid Lawrence CampbellPartner · (530) 274-6677

Enumeration DateMay 27, 2006

Last NPPES UpdateAugust 26, 2010

✔ NPI 1720035561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

Definition

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.

155 GLASSON WAY, Grass Valley, CA 95945

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Other Identifiers 13

Other68-0334230Previous Tax Id Number Prior To 11/2006

Medicare UPINE95790CA

Medicare ID-Type Unspecified00G0270122CA · Pin# Wm A Newsom Jr Md

MedicaidGR0061600CA

OtherDF1247Railroad Medicare Ptan For Company Current As Of 08/2010

OtherP00314945CA · Railroad Medicare Ptan - William A Newson, Jr, Md

Medicare UPINA89441CA

Other1750373239Individual Md Npi# - David Campbell

Other1518959188Individual Md Npi# William A Newsom Jr

OtherP00340104CA · Railroad Medicare Ptan - David L Campbell, Md

OtherZZZ70159ZPrevious Medicare Ptan

Medicare ID-Type UnspecifiedZZZ02732ZAL · New Medicare Provider#

Medicare ID-Type Unspecified00G647811CA · Pin# David L Campbell Md

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIAN D EVANS M.D.

Emergency Medicine