Active NPI
Hope Cancer Center of Northwest Ohio
- Hematology & Oncology Physician
- Van Wert, OH
National Provider Identifier
1205928330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- Legal business name
- HOPE CANCER CENTER OF NORTHWEST OHIO
- Practice address
- 140 Fox Rd
Suite 104
Van Wert, OH 45891-2475 - Phone
- (419) 238-0004
- Fax
- (419) 238-0777
- NPI assigned
- Sep 28, 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
- Ravi Madan, M.D.
- Title
- Ceo/President
- Phone
- (419) 238-0004
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | Primary |
Addresses
Primary practice location
140 Fox Rd
Suite 104
Van Wert, OH 45891-2475
Mailing address
825 W Market St
Suite 260
Lima, OH 45805-2799
Phone (419) 222-6595
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2413418 | Medicaid | OH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204761600000",
"number": "1205928330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 W MARKET ST",
"address_2": "SUITE 260",
"city": "LIMA",
"state": "OH",
"postal_code": "458052799",
"telephone_number": "419-222-6595",
"fax_number": "419-222-6640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 FOX RD",
"address_2": "SUITE 104",
"city": "VAN WERT",
"state": "OH",
"postal_code": "458912475",
"telephone_number": "419-238-0004",
"fax_number": "419-238-0777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOPE CANCER CENTER OF NORTHWEST OHIO",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-28",
"last_updated": "2008-03-06",
"status": "A",
"authorized_official_last_name": "MADAN",
"authorized_official_first_name": "RAVI",
"authorized_official_title_or_position": "CEO/PRESIDENT",
"authorized_official_telephone_number": "419-238-0004",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2413418",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Van Wert, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.