UNIVERSITY HEMATOLOGY ONCOLOGY INC (NPI# 1871907790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871907790 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY HEMATOLOGY ONCOLOGY INC |
| Practice Address |
#11 Cusumano Professional Plaza Mount Vernon IL 62864 |
| Mailing Address |
2325 Dougherty Ferry Rd Suite 204 Saint Louis MO 63122-3356 |
| Practice Telephone | 6185321891 |
| Practice Fax Number | 6185321892 |
| Mailing Telephone | 3142907501 |
| Mailing Fax Number | 3142907575 |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2014-06-18 |
| Authorized Official Name | RAZA M SYED (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 3142907501 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 036-043-159 | IL | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184900409 | University Hematology Oncology Inc | Specialist | 2325 Dougherty Ferry Rd, Suite 204, Saint Louis, MO 63122-3356 | 2011-11-01 |
| 1023293776 | University Hematology Oncology Inc | Clinic/Center | 1052 Martin Luther King Dr, Suite 2, Centralia, IL 62801-3002 | 2007-12-31 |
| Street Address |
#11 CUSUMANO PROFESSIONAL PLAZA |
| City | MOUNT VERNON |
| State | IL |
| Zip Code | 62864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619438892 | Melissa Pryer | Dietitian, Registered | 2020 Broadway, Suite 1, Mt. Vernon, IL 62864 | 2019-03-28 |
| 1487145454 | Chiropractic Wellness Center of Mt Vernon, LLC. | Chiropractor | 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 | 2018-05-24 |
| 1851889208 | Kimberly Tate | Counselor | 4110 North Water Place, Mt. Vernon, IL 62864 | 2018-05-01 |
| 1457771677 | Dynamic Counseling and Consultation Services | Social Worker | 3600 S Water Tower Pl, Mt Vernon, IL 62864 | 2014-04-27 |
| 1619239431 | Judith C Morgan | Counselor | 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-06-08 |
| 1073888624 | James Brian Verges | Counselor | 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-03-15 |
| 1720352271 | Lucinda M. Holdren | Counselor | 16338 North Illinois Highway 37, Mount Vernon, IL 62864 | 2012-03-01 |
| 1780978627 | Jamie M Orange | Physical Therapy Assistant | 19958 Fairfield Rd, Mt. Vernon, IL 62864 | 2011-06-08 |
| 1780978791 | Wendy Marie Claytor | Speech-Language Pathologist | 600 E Il Hwy 15, Mount Vernon, IL 62864 | 2011-06-07 |
| 1447561378 | Spero Family Services | Foster Care Agency | 201 North 27th Street, Mount Vernon, IL 62864 | 2010-06-25 |
| Find all providers in zip 62864 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295356459 | Kendra Celeste Williams | Specialist | 300 Hayward Ave Apt 2h, Mount Vernon, NY 10552-1729 | 2020-04-29 |
| 1912551938 | Tania Monique Marshall | Specialist | 340 Garden Ave, Mount Vernon, NY 10553-2014 | 2019-07-29 |
| 1801357090 | Camille Blackwood | Specialist | 55 Bonita Vista Rd, Mount Vernon, NY 10552-1301 | 2019-03-29 |
| 1043717325 | Rhea Elizabeth Zificsak | Specialist | 30 Fleetwood Ave Apt 1d, Mount Vernon, NY 10552-2854 | 2018-04-12 |
| 1457866477 | Angelina Jaqueline Lewis | Specialist | 58 Parkway W, Mount Vernon, NY 10552-1141 | 2017-12-13 |
| 1083126551 | Christina Storm | Specialist | 514 Gramatan Ave Apt 7a, Mount Vernon, NY 10552-3052 | 2017-10-24 |
| 1386177350 | La Sheune Cantey | Specialist | 465 E Lincoln Ave Apt 110, Mount Vernon, NY 10552-3539 | 2017-04-06 |
| 1477001550 | Daysi N. Mina | Specialist | 55 Ehrbar Ave, Apt 3d, Mount Vernon, NY 10552-2444 | 2016-09-16 |
| 1982057410 | Gina Marie Giordano | Specialist | 40 E Birch St, Apt. # 3 D, Mount Vernon, NY 10552-1838 | 2016-07-20 |
| 1013366087 | Breonne Lewis | Specialist | 99 Pennsylvania Ave, Mount Vernon, NY 10552-2419 | 2016-06-09 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 62864 |
Please comment or provide details below to improve the information on UNIVERSITY HEMATOLOGY ONCOLOGY INC.
| 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.