Provider Demographics
NPI:1235259755
Name:ONCOLOGY HEMATOLOGY CARE, INC
Entity Type:Organization
Organization Name:ONCOLOGY HEMATOLOGY CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO / GENERAL COUNSEL
Authorized Official - Prefix:MR
Authorized Official - First Name:ABRAM
Authorized Official - Middle Name:
Authorized Official - Last Name:GORDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-751-2145
Mailing Address - Street 1:2450 KIPLING AVE STE 111
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45239-6699
Mailing Address - Country:US
Mailing Address - Phone:513-541-8500
Mailing Address - Fax:513-541-3386
Practice Address - Street 1:2450 KIPLING AVE STE 111
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45239-6699
Practice Address - Country:US
Practice Address - Phone:513-541-8500
Practice Address - Fax:513-541-3386
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ONCOLOGY HEMATOLOGY CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-29
Last Update Date:2011-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1035350014Medicare NSC