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
1	207V00000X	Obstetrics & Gynecology Physician
2	207VX0201X	Gynecologic Oncology Physician
3	207RH0003X	Hematology & Oncology Physician
4	2085R0001X	Radiation Oncology Physician
5	207RX0202X	Medical Oncology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063416808
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ONCOLOGY HEMATOLOGY CARE, INC.

Provider Business Mailing Address
First Line	:	5053 WOOSTER RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45226-2326
Country	:	US
Telephone Number	:	513-751-2145
Fax Number	:	513-751-2138

Provider Business Practice Location Address
First Line	:	4350 MALSBARY RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45242-5621
Country	:	US
Telephone Number	:	513-751-2273
Fax Number	:	513-792-5844

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. EDWARD R BROUN
Credential	:	MD
Telephone Number	:	513-751-2145

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	06/24/2022

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