Organization Active NPI

Lebanon Hematologyoncology Inc

  • Specialist
  • Lebanon, OH
National Provider Identifier
1710158266
Registry record updated May 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35048340 Issued in OH
Legal business name
LEBANON HEMATOLOGYONCOLOGY INC
Practice address
670 N Broadway St
Lebanon, OH 45036-1724
Phone
(513) 228-1552
NPI assigned
Mar 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2008

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

Authorized official

Name
Dr. Cheryl A Skinner, M.D.
Title
Owner
Phone
(513) 228-1552

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 35048340 OH Primary

Addresses

Primary practice location

670 N Broadway St
Lebanon, OH 45036-1724

Mailing address

670 N Broadway St
Lebanon, OH 45036-1724
Phone (513) 228-1552

Other identifiers 3

IdentifierTypeStateIssuer
9374271OtherOHMEDICARE, PTAN
000000669011OtherOHANTHEM
0636217MedicaidOH

National Provider Directory

National Provider Directory

Locations

670 N Broadway St
Lebanon, OH 45036
Phone (513) 228-1552

NPI Registry JSON

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211500800000",
    "number": "1710158266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 N BROADWAY ST",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450361724",
            "telephone_number": "513-228-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 N BROADWAY ST",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450361724",
            "telephone_number": "513-228-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEBANON HEMATOLOGYONCOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2008-05-23",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-228-1552",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35048340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE, PTAN",
            "identifier": "9374271",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000669011",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0636217",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; 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.