Pennslyvania Oncologh Hematology Associates

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

MD021663E Issued in PA

Legal business name

PENNSLYVANIA ONCOLOGH HEMATOLOGY ASSOCIATES

Practice address

250 King of Prussia Rd
Ste 1B
Radnor, PA 19087-5220

Phone

(610) 902-5950

Fax

(610) 902-5959

NPI assigned

Nov 3, 2006

Organization subpart

No

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

Authorized official

Name

David Henry

Title

Sec and Treasurer

Phone

(215) 829-6088

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• DAVID M MINTZER MD Doing business as

Tax ID family

David H Henry MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pennslyvania Oncology Hematology Associates

  • Non-Pharmacy Dispensing Site
  • Philadelphia, PA
  • NPI 1730258468
  NPD tax ID

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346329018",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 KING OF PRUSSIA RD",
            "address_2": "STE 1B",
            "city": "RADNOR",
            "state": "PA",
            "postal_code": "190875220",
            "telephone_number": "610-902-5950",
            "fax_number": "610-902-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNSLYVANIA ONCOLOGH HEMATOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "SEC AND TREASURER",
        "authorized_official_telephone_number": "215-829-6088"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "PA",
            "license": "MD021663E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3987483",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017646000004",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009549220002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DAVID M MINTZER MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julie Paris
• Cristea Park, PT, DPT
• Karla M Pazzi
• Nathalia Pena, NONE
• Penn Rehab Agency at Radnor
• Pennsylvania Autism Services
• Pennsylvania Oncology Hematology Associates, PC
• Camila Perez Morales, BCBA
• Performance Physical Therapy & Fitness, Inc.
• Christian Peters, MD, PHD

• Non-Pharmacy Dispensing Site in Radnor, PA
• Providers in Radnor, PA by specialty
• Non-Pharmacy Dispensing Site in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.