ELIZABETHTOWN HEMATOLOGY-ONCOLOGY PLC (NPI# 1730161688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730161688 |
| Entity Type | Organization |
| Organization Name | ELIZABETHTOWN HEMATOLOGY-ONCOLOGY PLC |
| Practice Address |
1107 Woodland Dr Suite 105 Elizabethtown KY 42701-2789 |
| Practice Telephone | 2707696665 |
| Practice Fax Number | 2707690322 |
| Mailing Telephone | 2707696665 |
| Mailing Fax Number | 2707690322 |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2015-04-09 |
| Authorized Official Name | MR. NAWEED BEG (OFFICE MANGER) |
| Authorized Official Telephone | 2707696665 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians | ||
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | PASSPORT | 1050030 | 01 |
| KY | 65933970 | 05 |
| Street Address |
1107 WOODLAND DR SUITE 105 |
| City | ELIZABETHTOWN |
| State | KY |
| Zip Code | 42701-2789 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972585883 | Yusuf Khan Deshmukh | Internal Medicine | 1107 Woodland Dr, Suite 105, Elizabethtown, KY 42701-2789 | 2005-11-16 |
| 1336306299 | Saeed Ahmed Md Psc | Specialist | 1107 Woodland Dr, Elizabethtown, KY 42701-2789 | 2008-05-19 |
| 1689786337 | Saeed Ahmed | Internal Medicine | 1107 Woodland Dr, Suite 104, Elizabethtown, KY 42701 | 2006-08-31 |
| 1235155821 | Hardin County Imaging, LLC | Radiology | 1107 Woodland Dr, Ste 102, Elizabethtown, KY 42701-2789 | 2006-07-15 |
| 1831171347 | Mohammed Adnan Siddiqui | Internal Medicine | 1107 Woodland Dr, Suite 105, Elizabethtown, KY 42701-2789 | 2005-11-18 |
| 1598747099 | Rafiq U Rahman | Internal Medicine | 1107 Woodland Dr, Suite 105, Elizabethtown, KY 42701-2789 | 2005-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693104 | James G. Thornton | Specialist/Technologist, Other | 2409 Ring Road, Suite 106, Elizabethtown, KY 42701 | 2020-09-11 |
| 1033720727 | Rebecca Williams | Pharmacist | 1602 N Dixie Highway, Elizabethtown, KY 42701 | 2020-08-14 |
| 1245855709 | Mckenzie Jo Clemons | Speech-Language Pathologist | 107 Financial Drive, Elizabethtown, KY 42701 | 2020-06-10 |
| 1215565825 | Christina Nichole Hobson | Peer Specialist | 413 E Dixie Ste 106, Elizabethtown, KY 42701 | 2020-03-30 |
| 1336701275 | Cassandra Elizabeth Baker | Nurse Practitioner | 2005 N. Dixie Highway, Elizabethtown, KY 42701 | 2019-07-01 |
| 1487134276 | Ryan Leon Hogan | Marriage & Family Therapist | 1106 Tunnel Hill Road, Suite 100, Elizabethtown, KY 42701 | 2018-08-21 |
| 1033623921 | Kayla Russell | Behavior Technician | 529 Westport Road, Elizabethtown, KY 42701 | 2017-11-30 |
| 1578087128 | Brenda Gale Nunn | Case Manager/Care Coordinator | 2600 Ring Road, Elizabethtown, KY 42701 | 2017-07-26 |
| 1013451277 | Chelsea Danielle Thorn | Nurse Practitioner | 2005 N. Dixie Hwy, Elizabethtown, KY 42701 | 2016-12-07 |
| 1003364597 | Joseph Michael Senay | Pharmacist | 521 Robinbrooke Dr., Cancer Care Center of Hardin Memorial Hospital, Elizabethtown, KY 42701 | 2016-09-14 |
| Find all providers in zip 42701 | ||||
| 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 |
|---|---|---|---|---|
| 1225576523 | Rafiq U Rahman Md Psc | Internal Medicine | 101 Financial Pl Ste B103, Elizabethtown, KY 42701-8450 | 2017-02-07 |
| 1730447814 | Natalie W. Harper | Internal Medicine | 521 Robinbrooke Blvd, Elizabethtown, KY 42701-5904 | 2012-04-26 |
| 1316959968 | Vaseem Moulana | Internal Medicine | 1240 Woodland Dr, Elizabethtown, KY 42701-2767 | 2006-08-12 |
| 1033123195 | Stephen R. Toothaker | Internal Medicine | 521 Robinbrooke Blvd Unit 106, Elizabethtown, KY 42701-5946 | 2006-07-27 |
| 1972585883 | Yusuf Khan Deshmukh | Internal Medicine | 1107 Woodland Dr, Suite 105, Elizabethtown, KY 42701-2789 | 2005-11-16 |
| 1609858539 | Ijaz Mahmood | Internal Medicine | 1239 Woodland Dr, Suite 105, Elizabethtown, KY 42701-2770 | 2005-11-16 |
| 1053881896 | Nicholas Alexander Beam | Internal Medicine | 1 Continental Dr, Elizabethtown, PA 17022 | 2018-12-04 |
| 1194923904 | Dr Corzaon A Veza | Internal Medicine | 1118 Woodland Dr, Elizabethtown, KY 42701 | 2007-07-03 |
| 1750494464 | Vaseem Moulana | Internal Medicine | 1240 Woodland Dr, Elizabethtown, KY 42701-2767 | 2006-08-16 |
| 1598747099 | Rafiq U Rahman | Internal Medicine | 1107 Woodland Dr, Suite 105, Elizabethtown, KY 42701-2789 | 2005-11-18 |
| Find all providers in ELIZABETHTOWN | ||||
| City | ELIZABETHTOWN |
| Zip Code | 42701 |
Please comment or provide details below to improve the information on ELIZABETHTOWN HEMATOLOGY-ONCOLOGY PLC.
| 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.