Provider Demographics
NPI:1083819569
Name:HEMATOLOGY & ONCOLOGY SPECIALISTS LLC
Entity Type:Organization
Organization Name:HEMATOLOGY & ONCOLOGY SPECIALISTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE COMMITTEE
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:M
Authorized Official - Last Name:COSGRIFF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:504-883-2960
Mailing Address - Street 1:PO BOX 54932
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70154
Mailing Address - Country:US
Mailing Address - Phone:504-883-2960
Mailing Address - Fax:504-883-2967
Practice Address - Street 1:3525 PRYTANIA ST
Practice Address - Street 2:SUITE 302
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-3500
Practice Address - Country:US
Practice Address - Phone:504-897-8970
Practice Address - Fax:504-897-8777
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEMATOLOGY & ONCOLOGY SPECIALISTS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-06-15
Last Update Date:2012-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA5F818Medicare PIN
LA1190500007Medicare NSC