SENTORA SOUTHSIDE HEMATOLOGY & ONCOLOGY – NPI #1730455411
Internal Medicine

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.

Health Care Provider Taxonomy Code for Internal Medicine

SENTORA SOUTHSIDE HEMATOLOGY & ONCOLOGY is a provider located in SOUTH BOSTON, VA. NPPES has assigned the NPI number 1730455411 to SENTORA SOUTHSIDE HEMATOLOGY & ONCOLOGY on March 28, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SENTORA SOUTHSIDE HEMATOLOGY & ONCOLOGY” is a dba name, the actual legal business name for this organization is DOMINION MEDICAL HEALTH ASSOC. The primary taxonomy selected by this provider is 207RH0003X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology & Oncology

The NPI profile was previously updated about 11 years ago on Feb 10, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SENTORA SOUTHSIDE HEMATOLOGY & ONCOLOGY below.

NPI Profile for
DOMINION MEDICAL HEALTH ASSOC

NPI Number
1730455411
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DOMINION MEDICAL HEALTH ASSOC
Doing Business As (dba): SENTORA SOUTHSIDE HEMATOLOGY & ONCOLOGY
Primary location
2232 WILBORN AVE
SUITE D
SOUTH BOSTON, VA 24592
Phone: (434) 517-3640 Fax: (434) 517-3887
Mailing address
P.O. BOX 860
SOUTH BOSTON, VA 24592
Phone: (434) 517-3513 Fax: (434) 517-3887
Organization Subpart
No
Authorized Official
CECIL HAZELWOOD
MANAGER (SDHG)
Phone: (434) 517-3515
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RH0003X
- Internal Medicine / Hematology & Oncology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.