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DR. SAMUEL CHARLES BLACKMAN MD PHD NPI 1790782605


NPI Information

NPI: 1790782605
Provider Name: DR. SAMUEL CHARLES BLACKMAN, MD, PHD
Classification: Pediatrics - 2080P0207X
Entity Type: Individual

Specialization: Pediatric Hematology-Oncology

Address:
34TH & CIVIC CENTER BLVD
CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 590-1000
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DR. Samuel Charles Blackman, MD, PHD is a pediatric hematology-oncology pediatrics in Philadelphia, PA. The provider is a pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. DR. Samuel Charles Blackman, MD, PHD NPI is 1790782605. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

34TH & CIVIC CENTER BLVD
CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 590-1000

The enumeration date for this NPI number is 7/7/2005 and was last updated on 10/3/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsMD433904PENNSYLVANIANo
22080P0207XPediatricsPediatric Hematology-Oncology220358MASSACHUSETTSNo
32080P0207XPediatricsPediatric Hematology-OncologyMD433904PENNSYLVANIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
130052689OTHERPENNSYLVANIAKEYSTONE MERCY HEALTH PLAN --ONCOLOGY
2A37946MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS
330052688OTHERPENNSYLVANIAKEYSTONE MERCY HEALTH PLAN --GENERAL PEDIATRICS
464065881MEDICAIDKENTUCKY
511372260OTHERPENNSYLVANIACAQH ID
6I22257MEDICARE UPIN
720074409OTHERPENNSYLVANIAAMERIHEALTH MERCY HEALTH PLAN - GENERAL PEDIATRICS
820074413OTHERPENNSYLVANIAAMERIHEALTH MERCY HEALTH PLAN --ONCOLOGY

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.