Main Line Oncology Hematology Assoc

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

SP012692 Issued in PA

Legal business name

MAIN LINE ONCOLOGY HEMATOLOGY ASSOC

Practice address

100 E Lancaster Ave
Cancer Center
Wynnewood, PA 19096-3450

Phone

(610) 645-2494

Fax

(610) 645-4452

NPI assigned

Jan 17, 2013

Organization subpart

No

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

Authorized official

Name

Chrissa L Love

Title

Revenue Cycle Supervisor

Phone

(610) 645-2494

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Zonera Ashraf Ali, MD

  • Hematology & Oncology Physician
  • Wynnewood, PA
  • NPI 1306852728
  NPD

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627948800000",
    "number": "1508104043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE STE B20",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963450",
            "telephone_number": "610-645-2494",
            "fax_number": "610-645-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE",
            "address_2": "CANCER CENTER",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963450",
            "telephone_number": "610-645-2494",
            "fax_number": "610-645-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN LINE ONCOLOGY HEMATOLOGY ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-17",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "LOVE",
        "authorized_official_first_name": "CHRISSA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "REVENUE CYCLE SUPERVISOR",
        "authorized_official_telephone_number": "610-645-2494"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP012692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Main Line Psychiatric Assoc. LTD
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• Main Line Radiation Oncology PC
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• Adult Health Nurse Practitioner in Wynnewood, PA
• Providers in Wynnewood, PA by specialty
• Adult Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.