Organization Active NPI

Metroplex Hematology Oncology Associates

  • Hematology & Oncology Physician
  • Arlington, TX
National Provider Identifier
1669464848
Registry record updated Apr 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
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 ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 27, 2009

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)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X Primary
Radiation Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0019CPOtherTXBLUECROSSBLUESHIELD OF TX
121904002MedicaidTX
CC9402OtherRAILROAD MEDICARE PTAN

Other names 1

  • Metro Hemo Onc Doing business as

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

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.

Verify at the official NPI Registry.