NPIMap

Organization Active NPI

Pennsylvania Oncology Hematology Associates PC

  • Non-Pharmacy Dispensing Site
  • Philadelphia, PA
National Provider Identifier
1154378867
Registry record updated Jun 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
MD018597E Issued in PA
Legal business name
PENNSYLVANIA ONCOLOGY HEMATOLOGY ASSOCIATES PC
Practice address
230 W Washington SQ
2ND FL
Philadelphia, PA 19106-3500
Phone
(215) 829-6088
Fax
(215) 829-6104
NPI assigned
May 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2011

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

Authorized official

Name
David H Henry, MD
Title
Physician
Phone
(215) 829-6088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X MD018597E PA Primary

Addresses

Primary practice location

230 W Washington SQ
2ND FL
Philadelphia, PA 19106-3500

Mailing address

230 W Washington SQ
2ND Floor
Philadelphia, PA 19106-3500
Phone (215) 829-6088

Other identifiers 3

IdentifierTypeStateIssuer
0006622760001MedicaidPA
3987471OtherNCPDP PROVIDER IDENTIFICATION NUMBER
001764600004MedicaidPA

Other names 1

  • PENNSYLVANIA ONCOLOGY HEMATOLOGY ASSOCIATES PC Doing business as

National Provider Directory

National Provider Directory

Locations

230 W Washington Sq
Fl 2
Philadelphia, PA 19106
Phone (215) 829-6088

250 King of Prussia Rd
Ste 113
Radnor, PA 19087
Phone (610) 902-5950

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306972800000",
    "number": "1154378867",
    "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",
            "telephone_number": "215-829-6088",
            "fax_number": "215-829-6104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 W WASHINGTON SQ",
            "address_2": "2ND FL",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191063500",
            "telephone_number": "215-829-6088",
            "fax_number": "215-829-6104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNSYLVANIA ONCOLOGY HEMATOLOGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2011-06-02",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "215-829-6088",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "PA",
            "license": "MD018597E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006622760001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3987471",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001764600004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PENNSYLVANIA ONCOLOGY HEMATOLOGY ASSOCIATES PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.