1447291844 NPI number — ONCOLOGY-HEMATOLOGY INFUSION THERAPY INC

Table of content: (NPI 1447291844)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447291844 NPI number — ONCOLOGY-HEMATOLOGY INFUSION THERAPY INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ONCOLOGY-HEMATOLOGY INFUSION THERAPY INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1447291844
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/13/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8926 WOODYARD RD
Provider Second Line Business Mailing Address:
SUITE 602
Provider Business Mailing Address City Name:
CLINTON
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20735-4220
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-868-9552
Provider Business Mailing Address Fax Number:
301-868-5339

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8926 WOODYARD RD
Provider Second Line Business Practice Location Address:
SUITE 602
Provider Business Practice Location Address City Name:
CLINTON
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20735-4220
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-868-9552
Provider Business Practice Location Address Fax Number:
301-868-5339
Provider Enumeration Date:
06/09/2006

Additional Information

Authorized Official

Authorized Official Last Name:
KATZEN
Authorized Official First Name:
HARVEY
Authorized Official Middle Name:
I
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
301-868-9552

Provider Taxonomy Codes

  • Taxonomy code: 207RH0003X , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2203410C2 . This is a "MAMSI" identifier . This identifiers is of the category "OTHER".
  • Identifier: M339 . This is a "AMERICAID" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: B648 . This is a "BC/BS DC" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".
  • Identifier: KP14ON . This is a "BC/BS OF MD" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 2203410C2 . This is a "ALLIANCE" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 0458809 . This is a "AETNA HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 173001100 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: CA0518 . This is a "RR MEDICARE" identifier . This identifiers is of the category "OTHER".




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