NPIMap

Organization Active NPI

Pediatric Hematology-Oncology Specialists, PSC

  • Pediatric Hematology & Oncology Physician
  • Louisville, KY
National Provider Identifier
1871632844
Registry record updated Feb 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
Legal business name
PEDIATRIC HEMATOLOGY-ONCOLOGY SPECIALISTS, PSC
Practice address
601 S Floyd St
Suite 403
Louisville, KY 40202-1835
Phone
(502) 629-7750
Fax
(502) 629-5780
NPI assigned
Feb 6, 2007
Last updated
Feb 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2010

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hematology & Oncology Physician 2080P0207X NU Primary

Addresses

Primary practice location

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

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
65906513MedicaidKY

National Provider Directory

National Provider Directory

Locations

2545 Solutions Ctr
Chicago, IL 60677

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266537600000",
    "number": "1871632844",
    "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"
        },
        {
            "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": "502-629-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC HEMATOLOGY-ONCOLOGY SPECIALISTS, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2010-02-19",
        "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": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65906513",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; 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.