Organization Active NPI

Academic Hematology Oncology, PC

  • Oncology Clinic/Center
  • Dearborn Heights, MI
National Provider Identifier
1902329501
Registry record updated Jul 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology Clinic/CenterTaxonomy code 261QX0200X
Legal business name
ACADEMIC HEMATOLOGY ONCOLOGY, PC
Practice address
23850 Van Born Rd
Dearborn Heights, MI 48125-2325
Phone
(313) 647-3245
Fax
(313) 577-0977
NPI assigned
Jul 25, 2017
Last updated
Jul 25, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2017

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

Authorized official

Name
Ayad Al-Katib, M.D.NPI 1013902691
Title
Medical Director
Phone
(313) 647-3245

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology Clinic/Center 261QX0200X NU Primary

Addresses

Primary practice location

23850 Van Born Rd
Dearborn Heights, MI 48125-2325

Mailing address

30700 Telegraph Rd Ste 1536
Bingham Farms, MI 48025-4590
Phone (248) 215-0048

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1500940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500940800000",
    "number": "1902329501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30700 TELEGRAPH RD STE 1536",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254590",
            "telephone_number": "248-215-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23850 VAN BORN RD",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481252325",
            "telephone_number": "313-647-3245",
            "fax_number": "313-577-0977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADEMIC HEMATOLOGY ONCOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-25",
        "last_updated": "2017-07-25",
        "status": "A",
        "authorized_official_last_name": "AL-KATIB",
        "authorized_official_first_name": "AYAD",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "313-647-3245",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2017; 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.