Provider Demographics
NPI:1205967106
Name:ONCOLOGY HEMATOLOGY CARE, INC
Entity type:Organization
Organization Name:ONCOLOGY HEMATOLOGY CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:R
Authorized Official - Last Name:BROUN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-751-2145
Mailing Address - Street 1:860 NW WASHINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45013-6340
Mailing Address - Country:US
Mailing Address - Phone:513-896-6940
Mailing Address - Fax:513-896-6947
Practice Address - Street 1:860 NW WASHINGTON BLVD
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45013-6340
Practice Address - Country:US
Practice Address - Phone:513-896-6940
Practice Address - Fax:513-896-6947
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2015-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1035350006Medicare NSC