Provider Demographics
NPI:1487795746
Name:CLINICAL HEMATOLOGY AND ONCOLOGY SERVICES, INC.
Entity type:Organization
Organization Name:CLINICAL HEMATOLOGY AND ONCOLOGY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:J
Authorized Official - Last Name:HAAS
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:330-753-7876
Mailing Address - Street 1:155 FIFTH STREET NE
Mailing Address - Street 2:
Mailing Address - City:BARBERTON
Mailing Address - State:OH
Mailing Address - Zip Code:44203
Mailing Address - Country:US
Mailing Address - Phone:330-753-7876
Mailing Address - Fax:330-848-3285
Practice Address - Street 1:155 FIFTH STREET NE
Practice Address - Street 2:
Practice Address - City:BARBERTON
Practice Address - State:OH
Practice Address - Zip Code:44203
Practice Address - Country:US
Practice Address - Phone:330-753-7876
Practice Address - Fax:330-848-3285
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-09
Last Update Date:2020-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2044086Medicaid
OH9289111Medicare PIN