Active NPI
Childrens Hematology & Oncology Associates P a
- Pediatric Hematology & Oncology Physician
- West Palm Beach, FL
National Provider Identifier
1922097047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Hematology & Oncology Physician
- License
- ME51289
- Legal business name
- CHILDRENS HEMATOLOGY & ONCOLOGY ASSOCIATES P A
- Practice address
- 5325 Greenwood Ave
#306
West Palm Beach, FL 33407-2452 - Phone
- (561) 844-6363
- Fax
- (561) 844-6391
- NPI assigned
- Oct 20, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Pamela Sue Stumbo-Oshea
- Title
- Office Manager
- Phone
- (561) 844-6363
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Hematology & Oncology Physician | 2080P0207X | ME51289 | FL | Primary |
| Clinical Medical Laboratory | 291U00000X | 800004117 | FL |
Addresses
Primary practice location
5325 Greenwood Ave
#306
West Palm Beach, FL 33407-2452
Mailing address
5325 Greenwood Ave
#306
West Palm Beach, FL 33407-2452
Phone (561) 844-6363
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 257718600 | Medicaid | FL | |
| 38635 | Other | FL | BLUE CROSS/BLUE SHIELD FL |
National Provider Directory
National Provider DirectoryLocations
5325 Greenwood Ave
Ste 306
West Palm Beach, FL 33407
Phone (561) 844-6363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129766400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277683200000",
"number": "1922097047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5325 GREENWOOD AVE",
"address_2": "#306",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334072452",
"telephone_number": "561-844-6363",
"fax_number": "561-844-6391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5325 GREENWOOD AVE",
"address_2": "#306",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334072452",
"telephone_number": "561-844-6363",
"fax_number": "561-844-6391"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILDRENS HEMATOLOGY & ONCOLOGY ASSOCIATES P A",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-20",
"last_updated": "2010-06-28",
"status": "A",
"authorized_official_last_name": "STUMBO-OSHEA",
"authorized_official_first_name": "PAMELA",
"authorized_official_middle_name": "SUE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "561-844-6363",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "2080P0207X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "FL",
"license": "ME51289",
"primary": true
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "FL",
"license": "800004117",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "257718600",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD FL",
"identifier": "38635",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.