Pennsylvania Oncology Hematology Associates, PC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

MD021663E Issued in PA

Legal business name

PENNSYLVANIA ONCOLOGY HEMATOLOGY ASSOCIATES, PC

Practice address

250 King of Prussia Rd
Ste 1B
Radnor, PA 19087-5220

Phone

(610) 902-5950

Fax

(610) 902-5959

NPI assigned

May 18, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David Henry

Title

Sec and Treasurer

Phone

(215) 829-6088

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• PENNSYLVANIA ONCOLOGY HEMATOLOGY ASSOCIATES Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305763200000",
    "number": "1003024720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 W WASHINGTON SQ",
            "address_2": "2ND FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191063500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 KING OF PRUSSIA RD",
            "address_2": "STE 1B",
            "city": "RADNOR",
            "state": "PA",
            "postal_code": "190875220",
            "telephone_number": "610-902-5950",
            "fax_number": "610-902-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNSYLVANIA ONCOLOGY HEMATOLOGY ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2011-05-19",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "SEC AND TREASURER",
        "authorized_official_telephone_number": "215-829-6088"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "PA",
            "license": "MD021663E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009549220002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017646000004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3987483",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PENNSYLVANIA ONCOLOGY HEMATOLOGY ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karla M Pazzi
• Nathalia Pena, NONE
• Penn Rehab Agency at Radnor
• Pennslyvania Oncologh Hematology Associates
• Pennsylvania Autism Services
• Camila Perez Morales, BCBA
• Performance Physical Therapy & Fitness, Inc.
• Christian Peters, MD, PHD
• Tyrone Anthoney Phillips II
• Pizzica Pediatrics

• Non-Pharmacy Dispensing Site in Radnor, PA
• Providers in Radnor, PA by specialty
• Non-Pharmacy Dispensing Site in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.