Healthcare Provider Details

I. General information

NPI: 1629539168
Provider Name (Legal Business Name): ALEXANDER HERSHEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2019
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3035 HAMILTON MASON RD STE 206
FAIRFIELD TWP OH
45011-5545
US

IV. Provider business mailing address

3035 HAMILTON MASON RD STE 206
FAIRFIELD TWP OH
45011-5545
US

V. Phone/Fax

Practice location:
  • Phone: 513-893-8480
  • Fax: 513-737-4222
Mailing address:
  • Phone: 513-893-8480
  • Fax: 513-737-4222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number35.154313
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: