LEBANON ONCOLOGY & HEMATOLOGY ASSOC. (NPI# 1457360471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457360471 |
| Entity Type | Organization |
| Organization Name | LEBANON ONCOLOGY & HEMATOLOGY ASSOC. |
| Practice Address |
4th & Willow St Hyman S Caplan Pavilion Lebanon PA 17046 |
| Mailing Address |
220 S Railroad St P.o. Box 312 Palmyra PA 17078 |
| Practice Telephone | 7172748875 |
| Mailing Telephone | 7178386462 |
| Mailing Fax Number | 7178385659 |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. RUBEN PEREZ (PHYSICIAN) |
| Authorized Official Telephone | 7172748873 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
036017E | PA | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
PE133702 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | CAPITAL BLUE CROSS | 02789600 | 01 |
| PA | HIGHMARK BLUE SHIELD | 573400 | 01 |
| Street Address |
4TH & WILLOW ST HYMAN S CAPLAN PAVILION |
| City | LEBANON |
| State | PA |
| Zip Code | 17046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568708972 | Amy Lesher | Counselor | 200 N &th Street, Lebanon, PA 17046 | 2012-12-13 |
| 1053656033 | Jessica L Hoffman | Nutritionist | 4053 Church Hill Road, Lebanon, PA 17046 | 2012-12-03 |
| 1568772135 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 400 Narrows Drive, Lebanon, PA 17046 | 2010-10-18 |
| 1336213024 | William Lee Huffman | Optometrist | 40 N 8th St, Lebanon, PA 17046 | 2006-11-17 |
| 1366534620 | Pennsylvania Counseling Services Inc | Counselor | 200 N 7th St., Lebanon, PA 17046 | 2006-09-28 |
| 1922106541 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 833 Bowman St The Promenade At Lebanon E, Lebanon, PA 17046 | 2006-09-20 |
| 1942218987 | Craig M Wilson | Chiropractor | 624 N Ninth Street, Family Care Chiropractic, Lebanon, PA 17046 | 2006-08-04 |
| 1477575975 | John I Shearer | Counselor | 1560 Jody Ave, Lebanon, PA 17046 | 2006-07-24 |
| 1316921950 | Deborah J Thomas | Counselor | 408 N 15th Ave, Lebanon, PA 17046 | 2005-12-06 |
| 1841785607 | Welsh Mountain Health Centers | Family Medicine | 920 Church Street, Lebanon, PA 17046 | 2018-06-25 |
| Find all providers in zip 17046 | ||||
| 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 |
|---|---|---|---|---|
| 1023260924 | Good Samaritian Physician Services | Internal Medicine | 844 Tuck St, Sechler Family Cancer Center, Lebanon, PA 17042-7477 | 2008-10-22 |
| 1841243425 | Tennessee Oncology Pllc | Internal Medicine | 103 Physicians Way Ste 120, Lebanon, TN 37090-4134 | 2006-05-18 |
| 1033523733 | Bhavina Batukbhai Sharma | Internal Medicine | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2014-06-20 |
| 1699119842 | Garrett Thomas Wasp | Internal Medicine | One Medical Center Dr, Hematology/oncology, Lebanon, NH 03756-0001 | 2013-04-18 |
| 1396005641 | Mid-valley Healthcare, Inc. | Internal Medicine | 525 N Santiam Hwy, Lebanon, OR 97355-4363 | 2012-05-21 |
| 1083986442 | Alliance Physicians Inc | Internal Medicine | 670 N Broadway St, Lebanon, OH 45036-2590 | 2012-02-01 |
| 1548436520 | Frederick Lansigan | Internal Medicine | 1 Medical Center Dr, Hematology-oncology, Lebanon, NH 03756-1000 | 2008-04-30 |
| 1023294949 | Monic R Drescher | Internal Medicine | 1 Medical Center Dr, Dartmouth Hitchcock- Hematology/oncology, Lebanon, NH 03756-1000 | 2008-01-10 |
| 1366598955 | Gabriel Arne Brooks | Internal Medicine | 1 Medical Center Dr, Medical Oncology, Lebanon, NH 03756-1000 | 2007-01-26 |
| 1629166673 | Steven Hardin | Internal Medicine | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2006-10-11 |
| Find all providers in LEBANON | ||||
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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.