Organization Active NPI

H.O.a.N.J., LLC

  • Hematology & Oncology Physician
  • Golden Valley, AZ
National Provider Identifier
1902057748
Registry record updated Oct 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
35245 Issued in AZ
Legal business name
H.O.A.N.J., LLC
Practice address
4263 Hwy 68
Suite C
Golden Valley, AZ 86413-8569
Phone
(928) 565-3939
Fax
(877) 684-3045
NPI assigned
Oct 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2008

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

Authorized official

Name
Ms. Tanya M Peck
Title
Biller
Phone
(928) 753-1191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X 35245 AZ Primary

Addresses

Primary practice location

4263 Hwy 68
Suite C
Golden Valley, AZ 86413-8569

Mailing address

3990 Stockton Hill Rd
Suite F 368
Kingman, AZ 86409-3024
Phone (928) 565-3939

Other identifiers 1

IdentifierTypeStateIssuer
080714MedicaidAZ

National Provider Directory

National Provider Directory
Tax ID family
Hematology Oncology Ass3 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.

Locations

3990 N Stockton Hill Rd
Ste F
Kingman, AZ 86409

NPI Registry JSON

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223510400000",
    "number": "1902057748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3990 STOCKTON HILL RD",
            "address_2": "SUITE F 368",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093024",
            "telephone_number": "928-565-3939",
            "fax_number": "877-684-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4263 HWY 68",
            "address_2": "SUITE C",
            "city": "GOLDEN VALLEY",
            "state": "AZ",
            "postal_code": "864138569",
            "telephone_number": "928-565-3939",
            "fax_number": "877-684-3045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H.O.A.N.J., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-09",
        "last_updated": "2008-10-09",
        "status": "A",
        "authorized_official_last_name": "PECK",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "928-753-1191",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AZ",
            "license": "35245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080714",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.