Provider Demographics
NPI:1891405098
Name:TRI-COUNTY HEMATOLOGY AND ONCOLOGY ASSOCIATES
Entity Type:Organization
Organization Name:TRI-COUNTY HEMATOLOGY AND ONCOLOGY ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEARER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-479-3043
Mailing Address - Street 1:7337 CARITAS CIRCLE NW
Mailing Address - Street 2:SUITE 150
Mailing Address - City:MASSILLON
Mailing Address - State:OH
Mailing Address - Zip Code:44646
Mailing Address - Country:US
Mailing Address - Phone:330-479-3043
Mailing Address - Fax:
Practice Address - Street 1:7337 CARITAS CIR NW STE 150
Practice Address - Street 2:
Practice Address - City:MASSILLON
Practice Address - State:OH
Practice Address - Zip Code:44646-9128
Practice Address - Country:US
Practice Address - Phone:330-479-3043
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-29
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Multi-Specialty