Provider Demographics
NPI:1023149929
Name:ONCOLOGY HEMATOLOGY CARE, INC
Entity type:Organization
Organization Name:ONCOLOGY HEMATOLOGY CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO / GENERAL COUNSEL
Authorized Official - Prefix:MR
Authorized Official - First Name:ABRAM
Authorized Official - Middle Name:
Authorized Official - Last Name:GORDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-751-2145
Mailing Address - Street 1:5310 RAPID RUN RD STE 202
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45238-4244
Mailing Address - Country:US
Mailing Address - Phone:513-451-1900
Mailing Address - Fax:513-451-3036
Practice Address - Street 1:5310 RAPID RUN RD STE 202
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45238-4244
Practice Address - Country:US
Practice Address - Phone:513-451-1900
Practice Address - Fax:513-451-3036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2011-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1035350013Medicare NSC