Basic Information
Provider Information
NPI: 1669401303
EntityType: 2
ReplacementNPI:  
OrganizationName: ONCOLOGY PARTNERS NETWORK LTD
LastName:  
FirstName:  
MiddleName:  
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Credential:  
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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: 07/03/2006
LastUpdateDate: 03/16/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: MAHER
AuthorizedOfficialFirstName: JAMES
AuthorizedOfficialMiddleName: F
AuthorizedOfficialTitleorPosition: PRESIDENT
AuthorizedOfficialTelephone: 5134514033
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
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AuthorizedOfficialCredential: MD
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0001X0692RTOHN193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
207RX0202X0692RTOHY193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology

ID Information
IDTypeStateIssuerDescription
201749005OH MEDICAID
201739205OH MEDICAID
201741805OH MEDICAID


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