Active NPI
Hematology Oncology Associates, PC
- Oncology Clinic/Center
- Jackson, TN
National Provider Identifier
1023020948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oncology Clinic/Center
- License
- MD29190
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3734537 | Medicaid | TN |
National Provider Directory
National Provider DirectoryLocations
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.