Organization
ONCOLOGY HEMATOLOGY ASSOCIATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK T EHALT (SR.DIRECTOR)
(412) 647-0943
Entity
Organization
Contact information
Practice address
5115 CENTRE AVE, 3RD FLOOR, PITTSBURGH, PA 15232-1301
(412) 235-1020
(412) 235-1030
Mailing address
2 HOT METAL ST, QUANTUM ONE, N430, PITTSBURGH, PA 15203-2348
(412) 432-7706
(412) 432-7691
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
39D0179384
PA
291U00000X
Clinical Medical Laboratory
39D0671037
PA
291U00000X
Clinical Medical Laboratory
39D0671038
PA
291U00000X
Clinical Medical Laboratory
39D0683973
PA
291U00000X
Clinical Medical Laboratory
39D0860900
PA
291U00000X
Clinical Medical Laboratory
39D0890691
PA
291U00000X
Clinical Medical Laboratory
39D0911309
PA
291U00000X
Clinical Medical Laboratory
39D0929849
PA
291U00000X
Clinical Medical Laboratory
39D0979600
PA
291U00000X
Clinical Medical Laboratory
39D0979602
PA
291U00000X
Clinical Medical Laboratory
39D0988205
PA
291U00000X
Clinical Medical Laboratory
39D1056766
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000158940
ANTHEM BLUE CROSS BLUE SHIELD
OH
05
—
001648075
—
PA
01
—
0016480750055
CLIA LAB
PA
01
—
0016480750056
CLIA LAB
PA
01
—
0016480750057
CLIA LAB
PA
01
—
0016480750058
CLIA LAB
PA
01
—
0016480750059
CLIA LAB
PA
01
—
0016480750060
CLIA LAB
PA
01
—
0016480750061
CLIA LAB
PA
01
—
0016480750063
CLIA LAB
PA
01
—
0016480750064
CLIA LAB
PA
01
—
0016480750065
CLIA LAB
PA
01
—
001743629
MOUNTAIN STATE BLUE CROSS BLUE SHIELD
WV
05
—
2518654
—
OH
05
—
2524898
—
OH
05
—
2524905
—
OH
05
—
2524923
—
OH
05
—
2538347
—
OH
05
—
2568627
—
OH
05
—
2571195
—
OH
05
—
2658440
—
OH
05
—
2659449
—
OH
05
—
2702650
—
OH
05
—
2717108
—
OH
Enumeration date
03/03/2006
Last updated
01/29/2013
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