Logan Hematology-Oncology Inc

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

20171 Issued in WV

Legal business name

LOGAN HEMATOLOGY-ONCOLOGY INC

Practice address

77 Hospital Drive
Logan, WV 25601-3451

Phone

(304) 792-1116

Fax

(304) 792-1133

NPI assigned

Apr 30, 2007

Last updated

Mar 26, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Safique Ahmed, M.D.NPI 1720016843

Title

Doctor

Phone

(304) 792-1116

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Safique Ahmed, M.D.

  • Hematology & Oncology Physician
  • Logan, WV
  • NPI 1720016843
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1649490731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 58176",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253580176",
            "telephone_number": "304-792-1116",
            "fax_number": "304-792-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 HOSPITAL DRIVE",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256013451",
            "telephone_number": "304-792-1116",
            "fax_number": "304-792-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGAN HEMATOLOGY-ONCOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-30",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "SAFIQUE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "304-792-1116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "WV",
            "license": "20171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801195001",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Logan General Hospital LLC (Logan Regional Medical Center)
• Logan General Hospital LLC (Logan Regional Primary Care - Logan)
• Logan General Hospital LLC (Logan Regional Medical Center - Rehabilitation Unit)
• Logan General Hospital LLC
• Logan General Hospital LLC (Logan Regional Medical Center)
• Logan Internal Medicine Group
• Logan Mingo Area Mental Health
• Logan Mingo Area Mental Health
• Logan Mingo Area Mental Health Inc
• Logan Oncology Care Associates, LLC (Logan Regional Cancer Center)

• Hematology & Oncology Physician in Logan, WV
• Providers in Logan, WV by specialty
• Hematology & Oncology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.