TRINITY HEMATOLOGY & ONCOLOGY CENTER PA
NPI 1215933239
Internal Medicine - Hematology & Oncology in Fayetteville, NC

Active since June 23, 2005
1209 CAPE CT, FAYETTEVILLE, NC 28304(910) 485-7003(910) 485-7103 Get Directions Write a Review

NPPES record last updated: March 5, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Trinity Hematology & Oncology Center Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRINITY HEMATOLOGY & ONCOLOGY CENTER PA (NPI 1215933239) is a healthcare organization registered as a hematology & oncology in Fayetteville, North Carolina and active in the NPI registry since June 2005. The organization lists Mark Ketheeswaran, Attending Physician, as its authorized official.

NPPES Registry Identity

NPI1215933239
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameTRINITY HEMATOLOGY & ONCOLOGY CENTER PA
Location Address1209 CAPE CTFayetteville, NC 28304-4404
Mailing AddressPo Box 87427Fayetteville, NC 28304-7427 · (910) 485-7003 · Fax (910) 485-7103
Fax(910) 485-7103
Organization SubpartNo
Authorized OfficialMark KetheeswaranAttending Physician · (910) 485-7003
Enumeration DateJune 23, 2005
Last NPPES UpdateMarch 5, 2010
NPI 1215933239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in NC · 9701004
Definition
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.
1209 CAPE CT, Fayetteville, NC 28304

Other Identifiers 3

Medicare ID-Type Unspecified2244064ANC
Other01814NC · Blue Cross & Blue Shield
Medicaid7901814NC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Hematology & Oncology)
1209 CAPE CT
FAYETTEVILLE, NC 28304

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Trinity Hematology & Oncology Center PA's NPI number?

The NPI number for Trinity Hematology & Oncology Center PA is 1215933239. It was assigned to this organization in the NPPES registry on June 23, 2005.

Where is Trinity Hematology & Oncology Center PA located?

Trinity Hematology & Oncology Center PA is located at 1209 Cape Ct, Fayetteville, NC 28304. The listed phone number is (910) 485-7003.

What is Trinity Hematology & Oncology Center PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

When was this NPI record last updated?

The NPPES record for Trinity Hematology & Oncology Center PA was last updated on March 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.