KELLY SAWCZYN MD NPI 1417094707

NPI Information

NPI: 1417094707
Provider Name: KELLY SAWCZYN, MD
Classification: Pediatrics - 2080P0207X
Entity Type: Individual

Specialization: Pediatric Hematology-Oncology

Organization: LEE MEMORIAL HEALTH SYSTEM

PECOS Registration: Yes

Address:
9981 S. HEALTHPARK DRIVE
SUITE 156
FORT MYERS, FL
ZIP 33908
Phone: (239) 343-5333
Get Directions

Kelly Sawczyn, MD is a pediatric hematology-oncology pediatrics in Fort Myers, FL with 23 years of experience. The provider is a pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. Kelly Sawczyn, MD NPI is 1417094707. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduation Year:2001

The provider's business location address is:

9981 S. HEALTHPARK DRIVE
SUITE 156
FORT MYERS, FL
ZIP 33908-618
Phone: (239) 343-5333
Fax: (239) 343-6019

The NPI 1417094707 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/30/2007 and was last updated on 3/30/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0207X	Pediatrics	Pediatric Hematology-Oncology	ME98498	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ME95802	OTHER	FLORIDA	FLORIDA MEDICAL LICENSE
2	277025300	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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