Organization Active NPI

Cincinnati Hematology-Oncology, Inc

  • Hematology & Oncology Physician
  • Cincinnati, OH
National Provider Identifier
1821084088
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
68352 Issued in OH
Legal business name
CINCINNATI HEMATOLOGY-ONCOLOGY, INC
Practice address
2727 Madison Rd
Suite 400
Cincinnati, OH 45209-2276
Phone
(513) 321-4333
Fax
(513) 533-6033
NPI assigned
Sep 23, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Grace L Kendrick, JD,MHA,FACHE,FACMPE
Title
Practice Administrator/C.O.O.
Phone
(513) 321-4333

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 32667 OH
Hematology & Oncology Physician 207RH0003X 40534 OH
Hematology & Oncology Physician 207RH0003X 61751 OH
Hematology & Oncology Physician 207RH0003X 68352 OH Primary
Hematology & Oncology Physician 207RH0003X 71313 OH
Hematology & Oncology Physician 207RH0003X 86350 OH
Hematology & Oncology Physician 207RH0003X 85883 OH

Addresses

Primary practice location

2727 Madison Rd
Suite 400
Cincinnati, OH 45209-2276

Mailing address

2727 Madison Rd
Suite 400
Cincinnati, OH 45209-2276
Phone (513) 321-4333

Other identifiers 6

IdentifierTypeStateIssuer
0395862MedicaidOH
0156790MedicaidOH
0179462MedicaidOH
2010568MedicaidOH
0827896MedicaidOH
2218193MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Cincinnati Hematology O6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

2727 Madison Rd
Ste 400
Cincinnati, OH 45209
Phone (513) 321-4333

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821084088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 MADISON RD",
            "address_2": "SUITE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452092276",
            "telephone_number": "513-321-4333",
            "fax_number": "513-533-6033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 MADISON RD",
            "address_2": "SUITE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452092276",
            "telephone_number": "513-321-4333",
            "fax_number": "513-533-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CINCINNATI HEMATOLOGY-ONCOLOGY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KENDRICK",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR/C.O.O.",
        "authorized_official_telephone_number": "513-321-4333",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "JD,MHA,FACHE,FACMPE"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OH",
            "license": "32667",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OH",
            "license": "40534",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OH",
            "license": "61751",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OH",
            "license": "68352",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OH",
            "license": "71313",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OH",
            "license": "86350",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OH",
            "license": "85883",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0395862",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0156790",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0179462",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2010568",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0827896",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2218193",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.