Organization Active NPI

Childrens Hematology & Oncology Associates P a

  • Pediatric Hematology & Oncology Physician
  • West Palm Beach, FL
National Provider Identifier
1922097047
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
ME51289 Issued in FL
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

Updated by the provider on Jun 28, 2010

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)CodeLicenseStatePrimary
Pediatric Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
257718600MedicaidFL
38635OtherFLBLUE CROSS/BLUE SHIELD FL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.