Organization Active NPI

Hematology Oncology Associates P.a.

  • Specialist
  • Pine Bluff, AR
National Provider Identifier
1063744472
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
E4024 Issued in AR
Legal business name
HEMATOLOGY ONCOLOGY ASSOCIATES P.A.
Practice address
4310 S Mulberry St
Pine Bluff, AR 71603-7030
Phone
(870) 534-1188
Fax
(870) 534-0188
NPI assigned
Feb 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2012

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

Authorized official

Name
Dr. Asif Masood, M.D.
Title
Physician
Phone
(870) 534-1188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X E4024 AR Primary

Addresses

Primary practice location

4310 S Mulberry St
Pine Bluff, AR 71603-7030

Mailing address

4310 S Mulberry St
Pine Bluff, AR 71603-7030
Phone (870) 534-1188

Other identifiers 1

IdentifierTypeStateIssuer
186027002MedicaidAR

Other names 1

  • Blood and Cancer Clinic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1265760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335830400000",
    "number": "1063744472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 S MULBERRY ST",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716037030",
            "telephone_number": "870-534-1188",
            "fax_number": "870-534-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 S MULBERRY ST",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716037030",
            "telephone_number": "870-534-1188",
            "fax_number": "870-534-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEMATOLOGY ONCOLOGY ASSOCIATES P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-10",
        "last_updated": "2012-05-01",
        "status": "A",
        "authorized_official_last_name": "MASOOD",
        "authorized_official_first_name": "ASIF",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "870-534-1188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AR",
            "license": "E4024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186027002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blood and Cancer Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pine Bluff, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; 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.