Provider Demographics
NPI:1649261470
Name:MEDICAL ONCOLOGY-HEMATOLOGY ASSOCIATES INC.
Entity type:Organization
Organization Name:MEDICAL ONCOLOGY-HEMATOLOGY ASSOCIATES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANCIS
Authorized Official - Suffix:
Authorized Official - Credentials:BS,MLT(ASCP)
Authorized Official - Phone:937-223-2183
Mailing Address - Street 1:1 ELIZABETH PL
Mailing Address - Street 2:10 TH FLOOR SUITE 10B
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45417-3445
Mailing Address - Country:US
Mailing Address - Phone:937-223-2183
Mailing Address - Fax:937-223-2185
Practice Address - Street 1:1 ELIZABETH PL
Practice Address - Street 2:10 TH FLOOR SUITE 10B
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45417-3445
Practice Address - Country:US
Practice Address - Phone:937-223-2183
Practice Address - Fax:937-223-2185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-01
Last Update Date:2010-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0914327Medicaid
OH9266141Medicare PIN