PEDIATRIC HEMATOLOGY CLINIC LTD – NPI #1003956343
Pediatrics

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

PEDIATRIC HEMATOLOGY CLINIC LTD is a provider located in SIOUX FALLS, SD. NPPES has assigned the NPI number 1003956343 to PEDIATRIC HEMATOLOGY CLINIC LTD on February 07, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2080P0207X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Hematology-Oncology

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PEDIATRIC HEMATOLOGY CLINIC LTD below.

NPI Profile for
PEDIATRIC HEMATOLOGY CLINIC LTD

NPI Number
1003956343
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PEDIATRIC HEMATOLOGY CLINIC LTD
Primary location
1000 E 21ST ST
SUITE 3100
SIOUX FALLS, SD 57105-1035
Phone: (605) 322-7595 Fax: (605) 322-7599
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARWAN HANNA
PRESIDENT
Phone: (605) 322-7595
Updated
Identifiers

Identifiers for PEDIATRIC HEMATOLOGY CLINIC LTD

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBS OF SD GROUP NUMBERSD4997079
OTHERMEDICA GROUP NUMBERSD3008526
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080P0207X
- Pediatrics / Pediatric Hematology-Oncology (Primary)
SD 1562

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.