Organization Active NPI

Hematology Oncology Associates, PC

  • Oncology Clinic/Center
  • Jackson, TN
National Provider Identifier
1023020948
Registry record updated Feb 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology Clinic/CenterTaxonomy code 261QX0200X
License
MD29190 Issued in TN
Legal business name
HEMATOLOGY ONCOLOGY ASSOCIATES, PC
Practice address
367 Hospital Blvd
4TH Floor
Jackson, TN 38305-2080
Phone
(731) 234-2425
Fax
(731) 410-6824
NPI assigned
Aug 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2009

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

Authorized official

Name
Dr. Omar Ahmad, M. D.
Title
Owner
Phone
(731) 234-2425

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology Clinic/Center 261QX0200X MD29190 TN Primary

Addresses

Primary practice location

367 Hospital Blvd
4TH Floor
Jackson, TN 38305-2080

Mailing address

PO Box 11076
Jackson, TN 38308-0117
Phone (731) 868-4441

Other identifiers 1

IdentifierTypeStateIssuer
3734537MedicaidTN

National Provider Directory

National Provider Directory

Locations

36 Sandstone Cir
Ste A
Jackson, TN 38305
Phone (731) 234-2425

367 Hospital Blvd
Fl 4
Jackson, TN 38305
Phone (731) 234-2425

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235433600000",
    "number": "1023020948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11076",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383080117",
            "telephone_number": "731-868-4441",
            "fax_number": "731-410-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 HOSPITAL BLVD",
            "address_2": "4TH FLOOR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052080",
            "telephone_number": "731-234-2425",
            "fax_number": "731-410-6824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEMATOLOGY ONCOLOGY ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2009-02-24",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-234-2425",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": "TN",
            "license": "MD29190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3734537",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; 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.