Active NPI
Dublin Hematology Oncology Care, PC
- Specialist
- Dublin, GA
National Provider Identifier
1467547521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 35737
- Legal business name
- DUBLIN HEMATOLOGY ONCOLOGY CARE, PC
- Practice address
- 207 Fairview Park Dr
Dublin, GA 31021-2550 - Phone
- (478) 275-1111
- Fax
- (478) 275-1191
- NPI assigned
- Oct 4, 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
- Dr. Farid U. Qazi, M.D.
- Title
- President/Physician
- Phone
- (478) 275-1111
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 35737 | GA | Primary |
Addresses
Primary practice location
207 Fairview Park Dr
Dublin, GA 31021-2550
Mailing address
207 Fairview Park Dr
Dublin, GA 31021-2550
Phone (478) 275-1111
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00530857Y | Medicaid | GA | |
| 010615 | Other | GA | STATE HEALTH BENEFIT |
| P00171973 | Other | GA | RAILROAD MEDICARE |
| 010615 | Other | GA | BCGSGA |
| 5053830001 | Other | GA | DMERC |
| 324423 | Other | GA | WELLCARE |
| 83BBBRF | Other | GA | MEDICARE |
| GRP4933 | Other | GA | MEDICARE GROUP NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040617001465 | GA | Part B Supplier - Clinic/Group Practice | 9537143250 |
Receives reassigned benefits from 3 practitioners Practice locations: Dublin, GA |
National Provider Directory
National Provider Directory- Tax ID family
- Dublin Hema Oncology Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Non-Pharmacy Dispensing Site
- Dublin, GA
- NPI 1780712364
Locations
207 Fairview Park Dr
Dublin, GA 31021
Phone (478) 275-1111
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1467547521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 FAIRVIEW PARK DR",
"city": "DUBLIN",
"state": "GA",
"postal_code": "310212550",
"telephone_number": "478-275-1111",
"fax_number": "478-275-1191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 FAIRVIEW PARK DR",
"city": "DUBLIN",
"state": "GA",
"postal_code": "310212550",
"telephone_number": "478-275-1111",
"fax_number": "478-275-1191"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DUBLIN HEMATOLOGY ONCOLOGY CARE, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-04",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "QAZI",
"authorized_official_first_name": "FARID",
"authorized_official_middle_name": "U.",
"authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
"authorized_official_telephone_number": "478-275-1111",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "GA",
"license": "35737",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00530857Y",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE HEALTH BENEFIT",
"identifier": "010615",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00171973",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCGSGA",
"identifier": "010615",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "5053830001",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "324423",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "83BBBRF",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "GRP4933",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dublin, GA
- Dublin Eye Associates, P.C.
- Dublin Eye Surgery Center LLC
- Dublin Gastroenterology Assoc, LLC
- Dublin Health Properties LLC
- Dublin Hematology Oncology Care PC
- Dublin Internal Medicine
- Dublin Internal Medicine Reference Lab
- Dublin Kidney Institute
- Dublin Medical Equipment, LLC
- Dublin Multispecialty LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.