Active NPI
Lebanon Hematologyoncology Inc
- Specialist
- Lebanon, OH
National Provider Identifier
1710158266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 35048340
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9374271 | Other | OH | MEDICARE, PTAN |
| 000000669011 | Other | OH | ANTHEM |
| 0636217 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
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.