Healthcare Provider Details

I. General information

NPI: 1316342090
Provider Name (Legal Business Name): ONCOLOGY HEMATOLOGY CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2014
Last Update Date: 10/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

148 W NORTH ST
SPRINGFIELD OH
45504-2547
US

IV. Provider business mailing address

5053 WOOSTER RD
CINCINNATI OH
45226-2326
US

V. Phone/Fax

Practice location:
  • Phone: 800-710-4674
  • Fax: 937-323-5495
Mailing address:
  • Phone: 513-751-2145
  • Fax: 513-751-2138

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number StateOH

VIII. Authorized Official

Name: STEVE SCHRADER
Title or Position: CFO
Credential:
Phone: 513-751-2145