Organization Active NPI

Tri-County Hematology & Oncology Associates Inc

  • Hematology & Oncology Physician
  • Massillon, OH
National Provider Identifier
1578600201
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
TRI-COUNTY HEMATOLOGY & ONCOLOGY ASSOCIATES INC
Practice address
7337 Caritas Cir NW
Massillon, OH 44646-9118
Phone
(330) 478-0001
Fax
(330) 837-2646
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

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

Authorized official

Name
Noman Rafique, M.D.NPI 1043215676
Title
President
Phone
(330) 478-0001

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)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X OH Primary

Addresses

Primary practice location

7337 Caritas Cir NW
Massillon, OH 44646-9118

Mailing address

7337 Caritas Cir NW
Massillon, OH 44646-9118
Phone (330) 478-0001

Other identifiers 1

IdentifierTypeStateIssuer
2044639MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040429000497 OH Part B Supplier - Clinic/Group Practice 7315934445 Receives reassigned benefits from 11 practitioners
Practice locations: Massillon, OH
O20100930002785 OH DME Supplier - Physician - Hematology/Oncology 7315934445 Practice locations: Massillon, OH

National Provider Directory

National Provider Directory

Locations

3688 Dressler Rd NW
Canton, OH 44718
Phone (330) 478-0001

300 Medical Park Dr
Ste 201
Dover, OH 44622
Phone (330) 343-6909

300 Medical Park Dr
Ste 104
Dover, OH 44622
Phone (330) 364-0895

7337 Caritas Cir NW
Ofc
Massillon, OH 44646
Phone (330) 479-3042

Practitioners & affiliated clinicians

Practitioners 12

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": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585699200000",
    "number": "1578600201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7337 CARITAS CIR NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446469118",
            "telephone_number": "330-478-0001",
            "fax_number": "330-837-2646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7337 CARITAS CIR NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446469118",
            "telephone_number": "330-478-0001",
            "fax_number": "330-837-2646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-COUNTY HEMATOLOGY & ONCOLOGY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A",
        "authorized_official_last_name": "RAFIQUE",
        "authorized_official_first_name": "NOMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-478-0001",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2044639",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Massillon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; 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.

Verify at the official NPI Registry.