NPIMap

Organization Active NPI

University Hematology Oncology Inc

  • Oncology Clinic/Center
  • Centralia, IL
National Provider Identifier
1023293776
Registry record updated Mar 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology Clinic/CenterTaxonomy code 261QX0200X
Legal business name
UNIVERSITY HEMATOLOGY ONCOLOGY INC
Practice address
1052 Martin Luther King Dr
Suite 2
Centralia, IL 62801-3002
Phone
(618) 532-1891
Fax
(618) 532-1892
NPI assigned
Dec 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2008

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

Authorized official

Name
Raza M Syed, MBA
Title
Practice Administrator
Phone
(314) 290-7500

Specialties & licenses 1

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

Addresses

Primary practice location

1052 Martin Luther King Dr
Suite 2
Centralia, IL 62801-3002

Mailing address

4921 Parkview PL
Suite 14C
Saint Louis, MO 63110-1032
Phone (314) 290-7501

National Provider Directory

National Provider Directory

Locations

626 N 38th St
Belleville, IL 62226
Phone (618) 233-0973

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBGCAA

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1023293776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4921 PARKVIEW PL",
            "address_2": "SUITE 14C",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101032",
            "telephone_number": "314-290-7501",
            "fax_number": "314-290-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1052 MARTIN LUTHER KING DR",
            "address_2": "SUITE 2",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628013002",
            "telephone_number": "618-532-1891",
            "fax_number": "618-532-1892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY HEMATOLOGY ONCOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "SYED",
        "authorized_official_first_name": "RAZA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "314-290-7500",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centralia, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; 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.