Provider Demographics
NPI:1538118286
Name:HEMATOLOGY ONCOLOGY ASSOCIATES PA
Entity Type:Organization
Organization Name:HEMATOLOGY ONCOLOGY ASSOCIATES PA
Other - Org Name:HOPE MEDICAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:M.D./PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:PATTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:850-444-4785
Mailing Address - Street 1:1717 N E ST
Mailing Address - Street 2:SUITE 231
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32501-6339
Mailing Address - Country:US
Mailing Address - Phone:850-444-4785
Mailing Address - Fax:850-434-2647
Practice Address - Street 1:1717 N E ST
Practice Address - Street 2:SUITE 231
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32501-6339
Practice Address - Country:US
Practice Address - Phone:850-444-4785
Practice Address - Fax:850-434-2647
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-09
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL59036529OtherBCBS AL GROUP PROVIDER#
FL99476OtherFLORIDA BCBS GROUP PROVID
FL99476Medicare ID - Type UnspecifiedMEDICARE GROUP PROVIDER #
ALJ023Medicare ID - Type UnspecifiedAL MEDICARE GROUP#