NPIMap

Organization Active NPI

Clinical Oncology and Hematology

  • Specialist
  • Dallas, TX
National Provider Identifier
1780848614
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G9925 Issued in TX
Legal business name
CLINICAL ONCOLOGY AND HEMATOLOGY
Practice address
5939 Harry Hines Blvd
Suite 800
Dallas, TX 75235-6246
Phone
(214) 916-9171
Fax
(214) 879-6249
NPI assigned
Jul 10, 2008
Last updated
Jul 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Authorized official

Name
Mr. Gary Wayne Crosby, CPR
Title
Director of Operations
Phone
(214) 916-9171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X G9925 TX Primary

Addresses

Primary practice location

5939 Harry Hines Blvd
Suite 800
Dallas, TX 75235-6246

Mailing address

5939 Harry Hines Blvd
Suite 800
Dallas, TX 75235-6246
Phone (214) 916-9171

Other identifiers 1

IdentifierTypeStateIssuer
157308101MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Clinical Oncology and Hematology3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1780848614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5939 HARRY HINES BLVD",
            "address_2": "SUITE 800",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752356246",
            "telephone_number": "214-916-9171",
            "fax_number": "214-879-6249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5939 HARRY HINES BLVD",
            "address_2": "SUITE 800",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752356246",
            "telephone_number": "214-916-9171",
            "fax_number": "214-879-6249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL ONCOLOGY AND HEMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-10",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "CROSBY",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "214-916-9171",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPR"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "G9925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157308101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.