Organization Active NPI

Hope Cancer Center of Northwest Ohio

  • Hematology & Oncology Physician
  • Van Wert, OH
National Provider Identifier
1205928330
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
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

Updated by the provider on Mar 6, 2008

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)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
2413418MedicaidOH

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.