Healthcare Provider Details

I. General information

NPI: 1013249499
Provider Name (Legal Business Name): CINCINNATI HEMATOLOGY-ONCOLOGY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2010
Last Update Date: 02/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8000 5 MILE RD
CINCINNATI OH
45230-2163
US

IV. Provider business mailing address

2727 MADISON RD
CINCINNATI OH
45209-2276
US

V. Phone/Fax

Practice location:
  • Phone: 513-624-3220
  • Fax: 513-231-1971
Mailing address:
  • Phone: 513-321-4333
  • Fax: 513-533-6033

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ROBERT L CODY
Title or Position: PRESIDENT
Credential: MD
Phone: 513-321-4333