Provider Demographics
NPI:1184829665
Name:HEMATOLOGY & ONCOLOGY SPECIALISTS LLC
Entity Type:Organization
Organization Name:HEMATOLOGY & ONCOLOGY SPECIALISTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JACK
Authorized Official - Middle Name:E
Authorized Official - Last Name:SAUX
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:504-679-9901
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:504-679-9901
Mailing Address - Fax:504-679-9928
Practice Address - Street 1:200 LAPALCO BLVD
Practice Address - Street 2:SUITE 1C
Practice Address - City:GRETNA
Practice Address - State:LA
Practice Address - Zip Code:70056-7113
Practice Address - Country:US
Practice Address - Phone:504-394-8450
Practice Address - Fax:504-394-8485
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:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1190500014Medicare NSC