Provider Demographics
NPI:1619183258
Name:HEMATOLOGY-ONCOLOGY SPECIALISTS OF NORTHWEST OHIO INC
Entity Type:Organization
Organization Name:HEMATOLOGY-ONCOLOGY SPECIALISTS OF NORTHWEST OHIO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHAOYANG
Authorized Official - Middle Name:
Authorized Official - Last Name:LI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:419-422-9898
Mailing Address - Street 1:15990 MEDICAL DR S
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-8894
Mailing Address - Country:US
Mailing Address - Phone:419-422-9898
Mailing Address - Fax:419-425-3091
Practice Address - Street 1:15990 MEDICAL DR S
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-8894
Practice Address - Country:US
Practice Address - Phone:419-422-9898
Practice Address - Fax:419-425-3091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2013-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9338551Medicare ID - Type UnspecifiedMEDICARE GRP
OHDD2490Medicare ID - Type UnspecifiedRR MEDICARE GRP