Oncology Hematology Associates Lab

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ONCOLOGY HEMATOLOGY ASSOCIATES LAB

Practice address

327 Medical Park Drive
Bridgeport, WV 26330-9006

Phone

(304) 842-9800

Fax

(304) 842-9804

NPI assigned

Mar 21, 2007

Organization subpart

No

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

Authorized official

Name

Paul M Brager, MDNPI 1265499222

Title

Director Owner

Phone

(304) 842-9800

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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

• Paul Mitchell Brager, MD

  • Hematology & Oncology Physician
  • Bridgport, WV
  • NPI 1265499222
  NPD Authorized official

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288742400000",
    "number": "1649395021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 MEDICAL PARK DRIVE",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263309006",
            "telephone_number": "304-842-9800",
            "fax_number": "304-842-9804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 MEDICAL PARK DRIVE",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263309006",
            "telephone_number": "304-842-9800",
            "fax_number": "304-842-9804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONCOLOGY HEMATOLOGY ASSOCIATES LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2010-11-03",
        "status": "A",
        "authorized_official_last_name": "BRAGER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR OWNER",
        "authorized_official_telephone_number": "304-842-9800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0039247000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA CMS CLINICAL LAB COM",
            "identifier": "51D0862738",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gbemisola Mayokun Olayemi, M.D
• Betty Jean Olds
• Brock Joseph Oliverio, M.D.
• Laura Oliverio, PTA
• Oncology Hematology Associates
• Oncology Hematology Associates PLLC
• Oncology Hematology Associates PLLC
• Sunny Onuigbo, M.D.
• Susan Opsahl, M.S. CCC-SLP
• Benjamin J Orndoff, DPM

• Clinical Medical Laboratory in Bridgeport, WV
• Providers in Bridgeport, WV by specialty
• Clinical Medical Laboratory in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; 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.