Provider Demographics
NPI:1932206935
Name:SPECIALISTS IN ONCOLOGY & HEMATOLOGY, P.C.
Entity type:Organization
Organization Name:SPECIALISTS IN ONCOLOGY & HEMATOLOGY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:V.P.
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:A
Authorized Official - Last Name:HORN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-454-5580
Mailing Address - Street 1:4921 PARKVIEW PL
Mailing Address - Street 2:STE 14B
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-1032
Mailing Address - Country:US
Mailing Address - Phone:314-454-5580
Mailing Address - Fax:314-454-5583
Practice Address - Street 1:4921 PARKVIEW PL
Practice Address - Street 2:STE 14B
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1032
Practice Address - Country:US
Practice Address - Phone:314-454-5580
Practice Address - Fax:314-454-5583
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2015-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO501651905Medicaid
MO000010689Medicare PIN