Provider Demographics
NPI:1710018619
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 1:5525 MARIE AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45248-3230
Mailing Address - Country:US
Mailing Address - Phone:513-751-2273
Mailing Address - Fax:513-574-7062
Practice Address - Street 1:5525 MARIE AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45248-3230
Practice Address - Country:US
Practice Address - Phone:513-751-2273
Practice Address - Fax:513-574-7062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2013-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1035350012Medicare NSC