Healthcare Provider Details

I. General information

NPI: 1720044019
Provider Name (Legal Business Name): UNIVERSITY HEMATOLOGY ONCOLOGY CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 PIEDMONT AVE STE 4000
CINCINNATI OH
45219-4231
US

IV. Provider business mailing address

2830 VICTORY PKWY STE 310
CINCINNATI OH
45206-1785
US

V. Phone/Fax

Practice location:
  • Phone: 513-475-8500
  • Fax: 513-475-8510
Mailing address:
  • Phone: 513-245-3444
  • Fax: 513-245-3449

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0000X
TaxonomyHematology (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: KATHLEEN QUALLS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 513-558-4231