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	208600000X	Surgery Physician

General Provider Information

NPI Number	:	1760135206
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	:	513-751-2273
Fax Number	:	513-751-2138

Provider Business Practice Location Address
First Line	:	601 IVY GTWY STE 2300
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45245-2054
Country	:	US
Telephone Number	:	513-751-2273
Fax Number	:

Authorized Official
Title or Position	:	CONTROLLER
Name	:	MIKE FITZ
Credential	:
Telephone Number	:	513-751-2145

Provider Enumeration Date	:	02/03/2022
Last Update Date	:	02/03/2022

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