ALEXIS C. BOULTER – NPI #1114488871
Pediatrics
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
ALEXIS BOULTER is a physician located in PHILADELPHIA, PA. NPPES has assigned the NPI number 1114488871 to ALEXIS BOULTER on March 26, 2019. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, 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 3 years ago on Jun 26, 2023. 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 ALEXIS BOULTER below.
NPI Profile for
ALEXIS C. BOULTER
(more than 7 years ago)
DIVISION OF PEDIATRIC HEMATOLOGY - ONCOLOGY
PHILADELPHIA, PA 19104 Phone: (267) 426-3574 Fax:
PHILADELPHIA, PA 19103 Phone: (904) 236-3354 Fax:
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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) |
PA | MT228513 |
| 390200000X - Student in an Organized Health Care Education/Training Program |
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.