Organization Active NPI

Hematology Oncology Solutions of Tallahassee LLC

  • Hematology & Oncology Physician
  • Tallahassee, FL
National Provider Identifier
1972862555
Registry record updated Apr 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
ME94463 Issued in FL
Legal business name
HEMATOLOGY ONCOLOGY SOLUTIONS OF TALLAHASSEE LLC
Practice address
1309 Thomaswood Dr
Tallahassee, FL 32308-7915
Phone
(850) 727-8540
Fax
(850) 765-8674
NPI assigned
May 16, 2012
Last updated
Apr 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2014

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

Authorized official

Name
Marie M Amanze, MDNPI 1740383181
Title
Owner
Phone
(850) 727-8540

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X ME94463 FL Primary

Addresses

Primary practice location

1309 Thomaswood Dr
Tallahassee, FL 32308-7915

Mailing address

1309 Thomaswood Dr
Tallahassee, FL 32308-7915
Phone (850) 727-8540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120702000305 FL Part B Supplier - Clinic/Group Practice 7214192996 Receives reassigned benefits from 1 practitioner
Practice locations: Tallahassee, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2050717Hematology Oncology Solutions of Tallahassee1309 Thomaswood Dr, Tallahassee, FL 32308ComplianceApr 21, 2027

National Provider Directory

National Provider Directory

Locations

1309 Thomaswood Dr
Tallahassee, FL 32308
Phone (850) 727-8540

Practitioners & affiliated clinicians

Practitioners 2

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": "1337126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396483200000",
    "number": "1972862555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 THOMASWOOD DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323087915",
            "telephone_number": "850-727-8540",
            "fax_number": "850-765-8674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 THOMASWOOD DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323087915",
            "telephone_number": "850-727-8540",
            "fax_number": "850-765-8674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEMATOLOGY ONCOLOGY SOLUTIONS OF TALLAHASSEE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-16",
        "last_updated": "2014-04-03",
        "status": "A",
        "authorized_official_last_name": "AMANZE",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-727-8540",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME94463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.