Pediatric Hematology/Oncology Specialists

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

Legal business name

PEDIATRIC HEMATOLOGY/ONCOLOGY SPECIALISTS

Practice address

601 S Floyd St
Suite 403
Louisville, KY 40202-1835

Phone

(502) 629-7750

Fax

(502) 629-7784

NPI assigned

Jan 24, 2008

Organization subpart

Yes

Parent organization

PEDIATRIC HEMATOLOGY/ONCOLOGY SPECIALISTSAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Salvatore James Bertolone Jr., MD

Title

President

Phone

(502) 629-7750

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Pediatric Hematology-Oncology Specialists PSC2 organizations share this tax ID, including this one

Part of

Pediatric Hematology-Oncology Specialists PSC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pediatric Hematology/Oncology Specialists, PSC

  • Clinical Child & Adolescent Psychologist
  • Louisville, KY
  • NPI 1972827707
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1275710907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S FLOYD ST",
            "address_2": "SUITE 403",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021835",
            "telephone_number": "502-629-7750",
            "fax_number": "502-629-7784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S FLOYD ST",
            "address_2": "SUITE 403",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021835",
            "telephone_number": "502-629-7750",
            "fax_number": "502-629-7784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC HEMATOLOGY/ONCOLOGY SPECIALISTS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEDIATRIC HEMATOLOGY/ONCOLOGY SPECIALISTS",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "BERTOLONE",
        "authorized_official_first_name": "SALVATORE",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-629-7750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78905171",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pediatric Cardiology Associates
• Pediatric Dental Group of Louisville
• Pediatric Gastroenterology PSC
• Pediatric Heartcare Partners PSC
• Pediatric Hematology-Oncology Specialists, PSC
• Pediatric Hematology/Oncology Specialists, PSC
• Pediatric Partners of Jeffersontown
• Pediatric Prompt Care
• Pediatric Psychological Associates PLLC
• Pediatric Pulmonary Medicine, PSC

• Pediatric Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Pediatric Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.