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NPI Code Detail

MEDICARE: MID OHIO ONCOLOGY HEMATOLOGY INC

MEDICARE: MID OHIO ONCOLOGY HEMATOLOGY 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
1174400000XSpecialist35046723OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
23676155OTHERNCPDP

General Provider Information

NPI Number : 1376509661
Entity Type Code : Organization
Provider Name (Legal Business Name) : MID OHIO ONCOLOGY HEMATOLOGY INC
Provider Business Mailing Address
First Line : 3100 PLAZA PROPERTIES BLVD
Second Line :
City : COLUMBUS
State : OH
Zip : 43219-1530
Country : US
Telephone Number : 614-383-6000
Fax Number : 614-383-6001
Provider Business Practice Location Address
First Line : 3100 PLAZA PROPERTIES BLVD
Second Line :
City : COLUMBUS
State : OH
Zip : 43219-1530
Country : US
Telephone Number : 614-383-6000
Fax Number : 614-383-6001
Authorized Official
Title or Position : PHYSICIAN
Name : DR. PATRICK ELWOOD
Credential : MD
Telephone Number : 614-383-6000
Provider Enumeration Date : 04/25/2006
Last Update Date : 02/27/2013

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Directions to “MID OHIO ONCOLOGY HEMATOLOGY INC ” Practice Location

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