HEMATOLOGY & ONCOLOGY CONSULTANTS, PC

Provider Demographics

• NPI: 1073686812
• Name: HEMATOLOGY & ONCOLOGY CONSULTANTS, PC
• Entity Type: Organization
• Organization Name: HEMATOLOGY & ONCOLOGY CONSULTANTS, PC
• Authorized Official - Title/Position: PRACTICE ADMINISTRATOR
• Authorized Official - Prefix: MS
• Authorized Official - First Name: CAROL
• Authorized Official - Middle Name: RENEE
• Authorized Official - Last Name: MURTAUGH
• Authorized Official - Credentials: RN
• Authorized Official - Phone: 402-572-3535
• Mailing Address - Street 1: PO BOX 641850
• Mailing Address - City: OMAHA
• Mailing Address - State: NE
• Mailing Address - Zip Code: 68164-7850
• Mailing Address - Country: US
• Mailing Address - Phone: 402-572-3535
• Mailing Address - Fax: 402-572-2892
• Practice Address - Street 1: 6901 N 72ND ST
• Practice Address - Street 2: SUITE 2244
• Practice Address - City: OMAHA
• Practice Address - State: NE
• Practice Address - Zip Code: 68122-1709
• Practice Address - Country: US
• Practice Address - Phone: 402-572-3535
• Practice Address - Fax: 402-572-2892
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2006-11-17
• Last Update Date: 2011-12-02

Provider Licenses

State	License ID	Taxonomies
NE	22157	207RH0003X
NE	13385	207RH0003X
NE	15291	207RH0003X
NE	21140	207RH0003X
NE	20876	207RH0003X
NE	17561	2085R0001X
NE	1301	363A00000X
NE	1294	363AM0700X
NE	110233	363L00000X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	207RH0003X	Allopathic & Osteopathic Physicians	Internal Medicine	Hematology & Oncology	Group - Single Specialty
No	2085R0001X	Allopathic & Osteopathic Physicians	Radiology	Radiation Oncology	Group - Single Specialty
No	363A00000X	Physician Assistants & Advanced Practice Nursing Providers	Physician Assistant		Group - Single Specialty
No	363AM0700X	Physician Assistants & Advanced Practice Nursing Providers	Physician Assistant	Medical	Group - Single Specialty
No	363L00000X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner		Group - Single Specialty

Provider Identifiers

State	Identifier ID	ID Type	Issuer
IA	0747394	Medicaid
IA	0747394	Medicaid
NE	087350	Medicare PIN
	G70529	Medicare UPIN
IA	06885	Medicare PIN
	G74737	Medicare UPIN
	G99720	Medicare UPIN
	B67934	Medicare UPIN