ALEXIS CHEN BOULTER
NPI 1114488871
Pediatrics - Pediatric Hematology-Oncology in Philadelphia, PA
NPI Status: Active since March 26, 2019
Contact Information
3401 CIVIC CENTER BLVD
DIVISION OF PEDIATRIC HEMATOLOGY - ONCOLOGY
PHILADELPHIA, PA
ZIP 19104
Phone: (267) 426-3574
- Individual
- Female
- Pediatrics
- Pediatric Hematology-Oncology
About ALEXIS BOULTER
This page provides the complete NPI Profile along with additional information for Alexis Boulter, a pediatrician established in Philadelphia, Pennsylvania with a medical specialization in Pediatrics, focusing in pediatric hematology-oncology . The healthcare provider is registered in the NPI registry with number 1114488871 assigned on March 2019. The practitioner's primary taxonomy code is 2080P0207X with license number MT228513 (PA). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1114488871
- Provider Name
- ALEXIS CHEN BOULTER
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3401 CIVIC CENTER BLVD DIVISION OF PEDIATRIC HEMATOLOGY - ONCOLOGY PHILADELPHIA, PA 19104
- Location Phone
- (267) 426-3574
- Mailing Address
- 2013 SANSOM STREET PHILADELPHIA, PA 19103
- Mailing Phone
- (904) 236-3354
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-26-2019
- Last Update Date
- 06-26-2023
- Code Navigator
A pediatrician like Alexis Boulter is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Pediatric Hematology-Oncology
- Taxonomy Code
- 2080P0207X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MT228513
- License State
- PA
- Taxonomy Description
- A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 1 | 4 | 4 | 8 | 8 | 8 | 7 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 2 | 4 | 8 | 8 | 16 | 8 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 2 + 4 + 8 + 8 + 1 + 6 + 8 + 1 + 4 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1114488871 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1083650923 | ELIZABETH A JAMME MD Individual | Pediatrics | 3401 CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA, PA 19104 (215) 590-1000 |
| 1730118373 | MEENA THAYU M.D. Individual | Pediatrics (Pediatric Gastroenterology) | 3401 CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA, PA 19104 (215) 590-1000 |
| 1679595409 | RICHARD M DONNER M.D. Individual | Pediatrics (Pediatric Cardiology) | 3401 CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA, PA 19104 (215) 590-1000 |
| 1396767851 | MARIANNE M GLANZMAN M.D. Individual | Pediatrics (Developmental - Behavioral Pediatrics) | 3401 CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA, PA 19104 (215) 590-1000 |
| 1417979147 | ABIGAIL F FARBER M.D. Individual | Pediatrics | 3401 CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA, PA 19104 (215) 590-1000 |
| 1619990454 | BEVERLY J LANGE M.D. Individual | Pediatrics (Pediatric Hematology-Oncology) | 3401 CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA, PA 19104 (215) 590-1000 |
| 1740204312 | PAUL J HONIG M.D. Individual | Dermatology | 3401 CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA, PA 19104 (215) 590-1000 |
| 1184637217 | ROSANNA POLLACK CRNP Individual | Nurse Practitioner (Pediatrics) | 3401 CIVIC CENTER BLVD 4TH FLOOR WOOD BUILDING PHILADELPHIA, PA 19104 (215) 590-4953 |
| 1497966915 | MARIKO NAKANISHI MD Individual | Pediatrics (Developmental - Behavioral Pediatrics) | 3401 CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA, PA 19104 (215) 590-1000 |
| 1174713812 | DANA SEPE M.D. Individual | Pediatrics (Pediatric Hematology-Oncology) | 3401 CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA, PA 19104 (215) 590-1000 |
| 1285818633 | HENRY WELCH M.D. Individual | Pediatrics | 3401 CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA, PA 19104 (215) 590-1000 |
| 1619143674 | LISA DRINKER Individual | Pediatrics (Neonatal-Perinatal Medicine) | 3401 CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA, PA 19104 (215) 590-1000 |
| 1255676110 | MATTHEW HOCKING Individual | Psychologist (Clinical Child & Adolescent) | 3401 CIVIC CENTER BLVD PHILADELPHIA, PA 19104 (215) 590-7555 |
| 1538404223 | SYDNEY ANNE UPAH CRNP Individual | Nurse Practitioner (Pediatrics) | 3401 CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA, PA 19104 (215) 590-2727 |
| 1710223789 | BLAIRE ALYSSA FRITZINGER CPNP Individual | Nurse Practitioner (Pediatrics) | 3401 CIVIC CENTER BLVD PHILADELPHIA, PA 19104 (215) 590-1000 |
| 1154668366 | CATHERINE ASHLEY LEBO MSN, CRNP, FNP Individual | Nurse Practitioner (Family) | 3401 CIVIC CENTER BLVD PHILADELPHIA, PA 19104 (215) 590-1000 |
| 1366781767 | MISS TRACY AMANDA WALKER CRNP Individual | Nurse Practitioner (Pediatrics) | 3401 CIVIC CENTER BLVD PHILADELPHIA, PA 19104 (215) 590-3481 |
| 1306832118 | PHILIP VINCENT SCRIBANO DO Individual | Pediatrics | 3401 CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILA - GENERAL PEDIATRICS PHILADELPHIA, PA 19104 (215) 590-2164 |
| 1235127119 | ALEXANDER DAVIDSON MD Individual | Pediatrics (Pediatric Cardiology) | 3401 CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA - CARDIOLOGY PHILADELPHIA, PA 19104 (215) 590-4040 |
| 1376534651 | DR. SUDHA AYYALA ANUPINDI MD Individual | Radiology (Pediatric Radiology) | 3401 CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA - RADIOLOGY PHILADELPHIA, PA 19104 (215) 590-7000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114488871, enumerated in the NPI registry as an "individual" on March 26, 2019
The provider is located at 3401 Civic Center Blvd Division Of Pediatric Hematology - Oncology Philadelphia, Pa 19104 and the phone number is (267) 426-3574
The provider's speciality is Pediatrics with taxonomy code 2080P0207X with a focus in Pediatric Hematology-Oncology
This NPI record was last updated on March 26, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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