Basic Information
Provider Information
NPI: 1215103353
EntityType: 2
ReplacementNPI:  
OrganizationName: ONCOLOGY PARTNERS OF CINCINNATI
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5520 CHEVIOT RD
Address2:  
City: CINCINNATI
State: OH
PostalCode: 452477069
CountryCode: US
TelephoneNumber: 5134514033
FaxNumber: 5134514118
Practice Location
Address1: 5520 CHEVIOT RD
Address2:  
City: CINCINNATI
State: OH
PostalCode: 452477069
CountryCode: US
TelephoneNumber: 5134514033
FaxNumber: 5134514118
Other Information
ProviderEnumerationDate: 05/07/2008
LastUpdateDate: 05/07/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: MAHER
AuthorizedOfficialFirstName: JAMES
AuthorizedOfficialMiddleName: F
AuthorizedOfficialTitleorPosition: PRESIDENT
AuthorizedOfficialTelephone: 5134514033
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: M.D,
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RH0003X  Y193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology

No ID Information.


Home