SAMUEL C. BLACKMAN MD, PHD – NPI #1790782605
Pediatrics

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

SAMUEL BLACKMAN is a physician located in PHILADELPHIA, PA. NPPES has assigned the NPI number 1790782605 to SAMUEL BLACKMAN on July 07, 2005. 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 18 years ago on Oct 03, 2008. 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 SAMUEL BLACKMAN below.

NPI Profile for
SAMUEL C. BLACKMAN

NPI Number
1790782605
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
SAMUEL C. BLACKMAN
Credentials
MD, PHD
Primary location
34TH & CIVIC CENTER BLVD
CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Phone: (215) 590-1000 Fax:
Mailing address
100 N 20TH ST STE 301
CHCA
PHILADELPHIA, PA 19103-1454
Phone: (215) 567-2422 Fax: (215) 977-8864
Sole Proprietor
No
Updated
Identifiers

Identifiers for SAMUEL BLACKMAN

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.

See identifiers
DescriptionIssuerStateIdentifier
OTHERAMERIHEALTH MERCY HEALTH PLAN - GENERAL PEDIATRICSPA20074409
OTHERAMERIHEALTH MERCY HEALTH PLAN --ONCOLOGYPA20074413
OTHERCAQH IDPA11372260
OTHERKEYSTONE MERCY HEALTH PLAN --GENERAL PEDIATRICSPA30052688
OTHERKEYSTONE MERCY HEALTH PLAN --ONCOLOGYPA30052689
MEDICAIDKY64065881
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)
MA 220358
208000000X
- Pediatrics
PA MD433904

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.