Provider Demographics
NPI:1922330463
Name:CINCINNATI HEMATOLOGY-ONCOLOGY, INC
Entity Type:Organization
Organization Name:CINCINNATI HEMATOLOGY-ONCOLOGY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:L
Authorized Official - Last Name:CODY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-321-4333
Mailing Address - Street 1:2727 MADISON RD
Mailing Address - Street 2:400
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45209-2276
Mailing Address - Country:US
Mailing Address - Phone:513-321-4333
Mailing Address - Fax:513-533-6033
Practice Address - Street 1:334 THOMAS MORE PKWY
Practice Address - Street 2:190
Practice Address - City:CRESTVIEW HILLS
Practice Address - State:KY
Practice Address - Zip Code:41017-3464
Practice Address - Country:US
Practice Address - Phone:859-331-3304
Practice Address - Fax:859-331-5404
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CINCINNATI HEMATOLOGY-ONCOLOGY, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-02-09
Last Update Date:2010-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY33039207RH0000X, 207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical OncologyGroup - Multi-Specialty
No207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematologyGroup - Multi-Specialty