MEDICARE: ONCOLOGY HEMATOLOGY CARE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207RH0003X	Hematology & Oncology Physician
2	2085R0001X	Radiation Oncology Physician
3	207RX0202X	Medical Oncology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639162985
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ONCOLOGY HEMATOLOGY CARE, INC.

Provider Business Mailing Address
First Line	:	5053 WOOSTER RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45226-2326
Country	:	US
Telephone Number	:	513-751-2145
Fax Number	:	513-751-2138

Provider Business Practice Location Address
First Line	:	85 N GRAND AVE
Second Line	:
City	:	FORT THOMAS
State	:	KY
Zip	:	41075-1793
Country	:	US
Telephone Number	:	859-572-3901
Fax Number	:	859-442-5337

Authorized Official
Title or Position	:	PRESIDENT
Name	:	EDWARD R BROUN
Credential	:	MD
Telephone Number	:	513-751-2145

Provider Enumeration Date	:	08/23/2005
Last Update Date	:	05/20/2015

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