MCCULLOUGH-HYDE MEMORIAL HOSPITAL, INC. (NPI# 1013335314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013335314 |
| Entity Type | Organization |
| Organization Name | MCCULLOUGH-HYDE MEMORIAL HOSPITAL, INC. |
| Other Organization Name | ONCOLOGY HEMATOLOGY |
| Practice Address |
110 N Poplar St Patient Accounts - Oncology Oxford OH 45056-1204 |
| Mailing Address |
110 N Poplar St Oxford OH 45056-1204 |
| Practice Telephone | 5135232111 |
| Practice Fax Number | 5135245665 |
| Mailing Telephone | 5135232111 |
| Mailing Fax Number | 5135245665 |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2014-04-03 |
| Authorized Official Name | MR. BRYAN D HEHEMANN (PRESIDENT & CEO) |
| Authorized Official Telephone | 5135245501 |
| Authorized Official Credential | FACHE |
| Is Organization Subpart | Y |
| Parent Organization Name | MCCULLOUGH-HYDE MEMORIAL HOSPITAL, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
1119 | OH | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Oncology Hematology | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831525500 | Mccullough-hyde Memorial Hospital, Inc. | Orthopaedic Surgery | 5151 Morning Sun Rd Ste A, Pinnacle Orthopaedics & Sports Medicine, Oxford, OH 45056-9546 | 2013-09-25 |
| 1386056331 | Mccullough-hyde Memorial Hospital, Inc. | Internal Medicine | 110 N Poplar St, Mccullough-hyde Rheumatology, Oxford, OH 45056-1204 | 2014-05-27 |
| 1245216183 | Mccullough-hyde Memorial Hospital, Inc. | Clinic/Center | 110 N Poplar St, Oxford, OH 45056-1204 | 2005-12-22 |
| Street Address |
110 N POPLAR ST PATIENT ACCOUNTS - ONCOLOGY |
| City | OXFORD |
| State | OH |
| Zip Code | 45056-1204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427057074 | Oxford Radiology Inc | Specialist | 110 N Poplar St, Oxford, OH 45056-1204 | 2005-07-16 |
| 1578923124 | Dorionne Whitaker | Nurse Practitioner | 110 N Poplar St, Oxford, OH 45056-1204 | 2016-02-24 |
| 1669860565 | Trihealth G., LLC | Allergy & Immunology | 110 N Poplar St, Oxford, OH 45056-1204 | 2014-12-30 |
| 1386056331 | Mccullough-hyde Memorial Hospital, Inc. | Internal Medicine | 110 N Poplar St, Mccullough-hyde Rheumatology, Oxford, OH 45056-1204 | 2014-05-27 |
| 1427329895 | Bryan R Barger | Nurse Anesthetist, Certified Registered | 110 N Poplar St, Oxford, OH 45056 | 2012-01-18 |
| 1588996524 | Nicole Marie White Malin | Emergency Medicine | 110 N Poplar St, Oxford, OH 45056-1204 | 2010-02-01 |
| 1568795839 | Michelle Beth Miller | Nurse Anesthetist, Certified Registered | 110 N Poplar St, Anesthesia Dept, Oxford, OH 45056-1204 | 2009-09-17 |
| 1275785008 | Emily A. Gerberick-douglass | Specialist | 110 N Poplar St, 5151 Morning Sun Road, Suite B, Oxford, OH 45056-1204 | 2008-10-10 |
| 1366614158 | Reid Hospital & Health Care Services Inc | Internal Medicine | 110 N Poplar St, Oxford, OH 45056-1204 | 2008-04-01 |
| 1013100700 | Tri State Urologic Services Psc Inc | Urology | 110 N Poplar St, Oxford, OH 45056-1204 | 2007-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952949695 | Joseph Barbetta | Specialist/Technologist | Weeb Ewbank Way, Oxford, OH 45056 | 2019-12-12 |
| 1568914596 | Devyn Jo Wilson | Student in an Organized Health Care Education/Training Program | 144 Yager Stadium, Oxford, OH 45056 | 2016-10-25 |
| 1538548185 | Linda Dingledine | Registered Nurse | 5301 University Park Blvd, Oxford, OH 45056 | 2015-05-28 |
| 1003200783 | Mary Elizabeth Ankrom | Specialist/Technologist | 501 E. High St., Oxford, OH 45056 | 2015-03-20 |
| 1902243454 | Alex Dolgov | Dentist | 474 S. Locust Street, Oxford, OH 45056 | 2013-05-23 |
| 1447577929 | Holly Anne Larson | Dietitian, Registered | 5176 Morning Sun Rd, Suite 1, Oxford, OH 45056 | 2010-04-23 |
| 1972718542 | Kip Charles Alishio | Psychologist | 195 Health Services Building, Miami University, Oxford, OH 45056 | 2007-05-14 |
| 1861550154 | Deborah Schindler | Dentist | 117 E Walnut Street, Oxford, OH 45056 | 2006-12-05 |
| 1821197880 | Terri Lynn Jones | Psychologist | 44 Autumn Dr, Oxford, OH 45056 | 2006-09-22 |
| 1386747095 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 123 W Spring St, Oxford, OH 45056 | 2006-09-07 |
| Find all providers in zip 45056 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760415608 | Benton M Wheeler | Internal Medicine | 504 Azalea Dr Ste A, Oxford, MS 38655-5397 | 2006-07-07 |
| 1194723965 | Dennis P Morgan | Internal Medicine | 504 Azalea Dr, Suite A, Oxford, MS 38655-5397 | 2005-07-14 |
| 1316951627 | Family Cancer Center, Pllc | Internal Medicine | 504 Azalea Dr, Suite A, Oxford, MS 38655-5397 | 2006-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013315076 | Clermont County Cancer Center LLC | Internal Medicine | 4402 Hartman Ln, Batavia, OH 45103-1971 | 2014-12-08 |
| 1215353834 | Ahmed M Ghany | Internal Medicine | 100 W 3rd Ave Ste 150, Columbus, OH 43201-3260 | 2014-03-06 |
| 1972935716 | Stanley P Balcerzak | Internal Medicine | 3113 N 3 Bs and K Rd, Sunbury, OH 43074-9674 | 2013-08-03 |
| 1184056996 | Mohammad Ansari-dezfuli | Internal Medicine | 1700 Carriage Place, Gates Mills, OH 44040 | 2013-08-02 |
| 1043569486 | Virginia Ann Rhodes | Internal Medicine | 1557 Landsdale Cir, Twinsburg, OH 44087-3337 | 2012-08-30 |
| 1629324009 | Earl Nelson Metz | Internal Medicine | 226 E. Dublin Granville Rd., Worthington, OH 43085-3185 | 2012-08-03 |
| 1366715260 | John Kiess Kurtz | Internal Medicine | 3676 Kehrer Rd, Bucyrus, OH 44820-8624 | 2012-02-23 |
| 1922398049 | Vamsi Koduri | Internal Medicine | 4435 State Route 159, Chillicothe, OH 45601 | 2011-04-11 |
| 1528392297 | William H Sigalove | Internal Medicine | 130 Meadow Dr, Elyria, OH 44035-1838 | 2009-09-28 |
| 1922236017 | Amir Iqbal | Internal Medicine | 885 S Sawburg Ave, Suite 110, Alliance, OH 44601-5926 | 2009-06-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.