Active NPI
Metroplex Hematology Oncology Associates
- Hematology & Oncology Physician
- Arlington, TX
National Provider Identifier
1669464848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- Legal business name
- METROPLEX HEMATOLOGY ONCOLOGY ASSOCIATES
- Practice address
- 906 W Randol Mill Rd
Arlington, TX 76012-2510 - Phone
- (817) 261-4906
- Fax
- (817) 543-4675
- NPI assigned
- Aug 16, 2005
- Organization subpart
- Yes
- Parent organization
- METROPLEX HEMATOLOGY ONCOLOGY ASSOCIATES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alfred Distefano, MD
- Title
- Managing Partner
- Phone
- (817) 261-4906
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | Primary | ||
| Radiation Oncology Physician | 2085R0001X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
906 W Randol Mill Rd
Arlington, TX 76012-2510
Mailing address
PO Box 974315
Dallas, TX 75397-4315
Phone (817) 261-4906
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0019CP | Other | TX | BLUECROSSBLUESHIELD OF TX |
| 121904002 | Medicaid | TX | |
| CC9402 | Other | RAILROAD MEDICARE PTAN |
Other names 1
- Metro Hemo Onc
National Provider Directory
National Provider Directory- Part of
- Metro Hematology Oncolo
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1240790400000",
"number": "1669464848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 974315",
"city": "DALLAS",
"state": "TX",
"postal_code": "753974315",
"telephone_number": "817-261-4906",
"fax_number": "817-543-4675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "906 W RANDOL MILL RD",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760122510",
"telephone_number": "817-261-4906",
"fax_number": "817-543-4675"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "METROPLEX HEMATOLOGY ONCOLOGY ASSOCIATES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "METROPLEX HEMATOLOGY ONCOLOGY ASSOCIATES",
"enumeration_date": "2005-08-16",
"last_updated": "2009-04-27",
"status": "A",
"authorized_official_last_name": "DISTEFANO",
"authorized_official_first_name": "ALFRED",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "817-261-4906",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": null,
"license": null,
"primary": true
},
{
"code": "2085R0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Radiation Oncology",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSSBLUESHIELD OF TX",
"identifier": "0019CP",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "121904002",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PTAN",
"identifier": "CC9402",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Metro Hemo Onc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Arlington, TX
- Metroplex Ekg
- Metroplex Hematology Oncology Associates
- Metroplex Hematology Oncology Associates
- Metroplex Hematology Oncology Associates
- Metroplex Hematology Oncology Associates
- Metroplex Nematology Oncology Associates
- Metroplex Rehab & Sports Injury
- Metroplex Sports Rehab Inc
- Metropolitian Pain Center, LLC
- Metx LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.