Healthcare Provider Details

I. General information

NPI: 1003943721
Provider Name (Legal Business Name): CINCINNATI HEMATOLOGY ONCOLOGY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 12/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2727 MADISON RD SUITE 400
CINCINNATI OH
45209-2276
US

IV. Provider business mailing address

2727 MADISON RD SUITE 400
CINCINNATI OH
45209-2276
US

V. Phone/Fax

Practice location:
  • Phone: 513-321-4333
  • Fax: 513-533-6033
Mailing address:
  • Phone: 513-321-4333
  • Fax: 513-533-6033

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number32667
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number40534
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number61751
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number72179
License Number StateOH
# 5
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number68352
License Number StateOH
# 6
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number71313
License Number StateOH
# 7
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number86350
License Number StateOH
# 8
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number85883
License Number StateOH

VIII. Authorized Official

Name: DR. ROBERT L CODY
Title or Position: PRESIDENT OF CORPORATION
Credential: M.D.
Phone: 513-321-4333