PEDIATRIC HEMATOLOGY-ONCOLOGY SPECIALISTS PSC NPI 1871632844

NPI Information

  • NPI: 1871632844
  • Provider Name: PEDIATRIC HEMATOLOGY-ONCOLOGY SPECIALISTS, PSC
  • Classification: Pediatrics - 2080P0207X
  • Specialization: Pediatric Hematology-Oncology
  • Entity Type: Organization
  • Address: 601 S FLOYD ST
    SUITE 403
    LOUISVILLE, KY
    ZIP 40202
  • Phone: (502) 629-7750

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NPI Details

PEDIATRIC HEMATOLOGY-ONCOLOGY SPECIALISTS, PSC is a pediatric hematology-oncology pediatrics in Louisville, KY. The provider is a pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. PEDIATRIC HEMATOLOGY-ONCOLOGY SPECIALISTS, PSC NPI is 1871632844. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

601 S FLOYD ST
SUITE 403
LOUISVILLE, KY
ZIP 40202-835
Phone: (502) 629-7750
Fax: (502) 629-5780

The provider's authorized official is Salvatore James Bertolone .
The authorized official title is President and has the following contact phone number (502) 629-7750.

The enumeration date for this NPI number is 2/6/2007 and was last updated on 2/19/2010.

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
12080P0207XPediatricsPediatric Hematology-OncologyYes

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
165906513MEDICAIDKENTUCKY

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: 3/30/2025

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