1861469223 NPI number — ONCOLOGY HEMATOLOGY ASSOCIATION INC

Table of content: (NPI 1861469223)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861469223 NPI number — ONCOLOGY HEMATOLOGY ASSOCIATION INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ONCOLOGY HEMATOLOGY ASSOCIATION 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:
1861469223
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/29/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2 HOT METAL ST
Provider Second Line Business Mailing Address:
QUANTUM ONE, N430
Provider Business Mailing Address City Name:
PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15203-2348
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-432-7706
Provider Business Mailing Address Fax Number:
412-432-7691

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5115 CENTRE AVE
Provider Second Line Business Practice Location Address:
3RD FLOOR
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15232-1301
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-235-1020
Provider Business Practice Location Address Fax Number:
412-235-1030
Provider Enumeration Date:
03/03/2006

Additional Information

Authorized Official

Authorized Official Last Name:
EHALT
Authorized Official First Name:
MARK
Authorized Official Middle Name:
T
Authorized Official Title or Position:
SR.DIRECTOR
Authorized Official Telephone Number:
412-647-0943

Provider Taxonomy Codes

  • Taxonomy code: 207RH0003X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 291U00000X , with the licence number: 39D0911309 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 291U00000X , with the licence number: 39D0179384 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 291U00000X , with the licence number: 39D0979602 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 291U00000X , with the licence number: 39D0671037 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 291U00000X , with the licence number: 39D0979600 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 291U00000X , with the licence number: 39D0860900 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 291U00000X , with the licence number: 39D0929849 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 291U00000X , with the licence number: 39D0683973 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 291U00000X , with the licence number: 39D0671038 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 291U00000X , with the licence number: 39D0988205 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 291U00000X , with the licence number: 39D1056766 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 291U00000X , with the licence number: 39D0890691 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 0016480750056 . This is a "CLIA LAB" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 001743629 . This is a "MOUNTAIN STATE BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( WV ) . This identifiers is of the category "OTHER".
  • Identifier: 2524898 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0016480750055 . This is a "CLIA LAB" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0016480750057 . This is a "CLIA LAB" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 2524923 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2568627 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0016480750058 . This is a "CLIA LAB" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0016480750061 . This is a "CLIA LAB" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0016480750063 . This is a "CLIA LAB" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0016480750064 . This is a "CLIA LAB" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0016480750065 . This is a "CLIA LAB" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 2524905 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2658440 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2659449 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2717108 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000000158940 . This is a "ANTHEM BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 0016480750060 . This is a "CLIA LAB" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 2571195 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0016480750059 . This is a "CLIA LAB" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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