UNIVERSITY HEMATOLOGY ONCOLOGY INC (NPI# 1023293776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023293776 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY HEMATOLOGY ONCOLOGY INC |
| Practice Address |
1052 Martin Luther King Dr Suite 2 Centralia IL 62801-3002 |
| Mailing Address |
4921 Parkview Pl Suite 14c Saint Louis MO 63110-1032 |
| Practice Telephone | 6185321891 |
| Practice Fax Number | 6185321892 |
| Mailing Telephone | 3142907501 |
| Mailing Fax Number | 3142907550 |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2008-03-07 |
| Authorized Official Name | RAZA M SYED (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 3142907500 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0200X |
Clinic/Center Specialization: Oncology |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871907790 | University Hematology Oncology Inc | Specialist | #11 Cusumano Professional Plaza, Mount Vernon, IL 62864 | 2014-06-18 |
| 1184900409 | University Hematology Oncology Inc | Specialist | 2325 Dougherty Ferry Rd, Suite 204, Saint Louis, MO 63122-3356 | 2011-11-01 |
| Street Address |
1052 MARTIN LUTHER KING DR SUITE 2 |
| City | CENTRALIA |
| State | IL |
| Zip Code | 62801-3002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942301940 | James E Hays | Specialist | 1052 Martin Luther King Dr, Centralia, IL 62801 | 2006-09-25 |
| 1962698837 | University Hematology Oncology Group Inc. | Internal Medicine | 1052 Martin Luther King Dr, Suite 2, Centralia, IL 62801-3002 | 2007-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356996151 | Matthew Crawford | Counselor | 904 E Martin Luther King Dr, Centralia, IL 62801 | 2019-08-08 |
| 1588130314 | Kennah White | Counselor | 904 E. Mlk Drive, Centralia, IL 62801 | 2018-10-19 |
| 1245721588 | Lindsey Nicole Fogliasso | Counselor | 904 East Mlk Dr., Centralia, IL 62801 | 2018-05-22 |
| 1629573365 | Prabhat Shrestha | Student in an Organized Health Care Education/Training Program | 605 Sable Drive, Centralia, IL 62801 | 2018-03-26 |
| 1619496098 | Whitney Rathmann | Speech-Language Pathologist | 224 South Locust, Centralia, IL 62801 | 2017-09-17 |
| 1376082685 | Athena A Smith | Counselor | 904 E. Martin Luther King Dr, Centralia, IL 62801 | 2017-02-20 |
| 1447704069 | Meghan Branch | Counselor | 904 Martin Luther King Dr, Centralia, IL 62801 | 2016-08-11 |
| 1568820637 | Midland Area Agency On Aging | Case Management | 434 S Poplar Street, Centralia, IL 62801 | 2016-02-04 |
| 1104201714 | Keri Douglas | Nurse Practitioner | 1054 M. L. King Drive #125, Centrailia, IL 62801 | 2015-07-24 |
| 1215331509 | Melissa Dane | Counselor | 904 E Martin Luther King Dr., Centralia, IL 62801 | 2014-10-15 |
| Find all providers in zip 62801 | ||||
| Taxonomy Code | 261QX0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oncology |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407381197 | Northwestern Memorial Healthcare | Clinic/Center | 675 N Saint Clair St, Suite 21-100, Chicago, IL 60611-5975 | 2017-05-01 |
| 1609301753 | Robert H. Lurie Comprehensive Cancer Center of Northwestern University | Clinic/Center | 250 E Superior St, Suite 520, Chicago, IL 60611-2914 | 2017-04-26 |
| 1588016851 | Dupage Medical Group | Clinic/Center | 17495 La Grange Rd, Tinley Park, IL 60487-7581 | 2016-07-11 |
| 1659721983 | Monica Anderson | Clinic/Center | 12004 S Route 59, Plainfield, IL 60585-5108 | 2016-06-17 |
| 1366815250 | Windy City Pediatrics | Clinic/Center | 3000 N Halsted St, Suite 825, Chicago, IL 60657-5188 | 2015-11-02 |
| 1396148011 | Rush University Medical Center | Clinic/Center | 1725 W Harrison St Ste 809, Chicago, IL 60612-3861 | 2014-10-08 |
| 1396019923 | Advanced Cancer Research, Ltd | Clinic/Center | 1022 N Northwest Hwy, Park Ridge, IL 60068-1831 | 2012-02-29 |
| 1205164084 | Northwest Suburban Oncology and Hematology Associates S.c | Clinic/Center | 661 Ridgeview Dr, Mchenry, IL 60050-7012 | 2009-12-06 |
| 1538317458 | Andrea Karoff | Clinic/Center | 901 W Wellington Ave, Chicago, IL 60657-6708 | 2008-09-04 |
| 1477740447 | University Hematology Oncology Group Inc | Clinic/Center | 13 Wolf Creek Dr, Suite 1, Swansea, IL 62226-2355 | 2007-10-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.