MEDICARE: HEMATOLOGY ONCOLOGY ASSOCIATES PC

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	207RH0003X	Hematology & Oncology Physician		CO

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124024450
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEMATOLOGY ONCOLOGY ASSOCIATES PC

Provider Business Mailing Address
First Line	:	2121 E HARMONY RD
Second Line	:	UNIT 150
City	:	FORT COLLINS
State	:	CO
Zip	:	80528-3413
Country	:	US
Telephone Number	:	970-493-6337
Fax Number	:	970-493-3528

Provider Business Practice Location Address
First Line	:	2121 E HARMONY RD
Second Line	:	UNIT 150
City	:	FORT COLLINS
State	:	CO
Zip	:	80528-3413
Country	:	US
Telephone Number	:	970-493-6337
Fax Number	:	970-493-3528

Authorized Official
Title or Position	:	MD
Name	:	MRS. MIHO T SCOTT
Credential	:	M.D.
Telephone Number	:	970-493-6337

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	07/21/2022

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