MEDICARE: ONCOLOGY HEMATOLOGY CARE, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251F00000X	Home Infusion Agency

General Provider Information

NPI Number	:	1023149929
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ONCOLOGY HEMATOLOGY CARE, INC

Provider Business Mailing Address
First Line	:	5310 RAPID RUN RD STE 202
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45238-4244
Country	:	US
Telephone Number	:	513-451-1900
Fax Number	:	513-451-3036

Provider Business Practice Location Address
First Line	:	5310 RAPID RUN RD STE 202
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45238-4244
Country	:	US
Telephone Number	:	513-451-1900
Fax Number	:	513-451-3036

Authorized Official
Title or Position	:	CEO / GENERAL COUNSEL
Name	:	MR. ABRAM GORDON
Credential	:
Telephone Number	:	513-751-2145

Provider Enumeration Date	:	03/09/2007
Last Update Date	:	03/25/2011

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