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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hematology & Oncology |
207RH0003X | 11 | Physician/Internal Medicine | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice | |
Hospitalist |
208M00000X | |||
Internal Medicine |
207R00000X | 11 | Physician/Internal Medicine | |
Maternal & Fetal Medicine |
207VM0101X | 16 | Physician/Obstetrics & Gynecology | |
Nephrology |
207RN0300X | 11 | Physician/Internal Medicine | |
Neurological Surgery |
207T00000X | 02 | Physician/General Surgery | |
Occupational Medicine |
2083X0100X | 84 | Physician/Preventive Medicine | |
Pediatric Cardiology |
2080P0202X | 37 | Physician/Pediatric Medicine | |
Pediatric Surgery |
2086S0120X | 02 | Physician/General Surgery | |
Physical Medicine & Rehabilitation |
208100000X | 25 | Physician/Physical Medicine and Rehabilitation | |
Plastic Surgery |
208200000X | 02 | Physician/General Surgery | |
Thoracic Surgery (Cardiothoracic Vascular Surgery) |
208G00000X | 02 | Physician/General Surgery | |
Trauma Surgery |
2086S0127X | 02 | Physician/General Surgery | |
Undersea and Hyperbaric Medicine |
207PE0005X | 93 | Physician/Emergency Medicine |
| NPI Number | 1275714081 |
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| LBN Legal business name | ST MARY'S HOSPITAL AND MEDICAL CENTER, INC | ||||
| Authorized official | TERRI CHINN - (VP/CFO) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | Yes | ||||
| Enumeration date | 11/20/2007 | ||||
| Last updated | 12/10/2019 - About 6 years ago | ||||
| Identifiers |
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