University Hematology Oncology Group Inc.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

R3981 Issued in MO

Legal business name

UNIVERSITY HEMATOLOGY ONCOLOGY GROUP INC.

Practice address

2210 Barron Rd
Suite 117
Poplar Bluff, MO 63901-1908

Phone

(573) 778-9136

Fax

(573) 778-9172

NPI assigned

Sep 19, 2007

Organization subpart

No

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) 290-7501

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1275729550",
    "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": "314-290-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 BARRON RD",
            "address_2": "SUITE 117",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639011908",
            "telephone_number": "573-778-9136",
            "fax_number": "573-778-9172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY HEMATOLOGY ONCOLOGY GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2009-08-26",
        "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": "314-290-7501",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MO",
            "license": "R3981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "505740506",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter Ejiofor Ugwoke
• Leta Dawn Underhile
• Matthew Allen Underhile
• Holly Underwood
• Sheila Renae Underwood, FNP
• Porschia Shaney Upshaw, RN
• Laurisa Ann Usery
• April Alyce Van Winkle
• Shanna Vanderburg
• Clint L Vanlandingham, DPM

• Hematology & Oncology Physician in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Hematology & Oncology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; 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.