Provider Demographics
NPI:1861689762
Name:HEMATOLOGY ONCOLOGY CONSULTANTS, P.C.
Entity Type:Organization
Organization Name:HEMATOLOGY ONCOLOGY CONSULTANTS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:CLARENCE
Authorized Official - Last Name:ASH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:317-445-8575
Mailing Address - Street 1:11313 USA PKWY
Mailing Address - Street 2:SUITE 138
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46037-9208
Mailing Address - Country:US
Mailing Address - Phone:317-558-6026
Mailing Address - Fax:317-558-6186
Practice Address - Street 1:1628 N MAIN ST
Practice Address - Street 2:SUITE A
Practice Address - City:RUSHVILLE
Practice Address - State:IN
Practice Address - Zip Code:46173-1121
Practice Address - Country:US
Practice Address - Phone:317-445-8575
Practice Address - Fax:317-577-1145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-25
Last Update Date:2007-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01041068A207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN389072OtherANTHEM