Provider Demographics
NPI:1205883378
Name:ONCOLOGY HEMATOLOGY CONSULTANTS, PSC
Entity type:Organization
Organization Name:ONCOLOGY HEMATOLOGY CONSULTANTS, PSC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:F
Authorized Official - Last Name:WINKLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:270-554-0011
Mailing Address - Street 1:100 KIANA CT
Mailing Address - Street 2:
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42001-6787
Mailing Address - Country:US
Mailing Address - Phone:270-554-0011
Mailing Address - Fax:270-554-6540
Practice Address - Street 1:100 KIANA CT
Practice Address - Street 2:
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42001-6787
Practice Address - Country:US
Practice Address - Phone:270-554-0011
Practice Address - Fax:270-554-6540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-27
Last Update Date:2009-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN372380Medicaid
KY65941197Medicaid
TN372380Medicaid
KY9106Medicare PIN
KYDB3016Medicare PIN
TNDB3824Medicare PIN
KY65941197Medicaid