DR. SAMUEL CHARLES BLACKMAN MD, PHD
NPI 1790782605
Pediatrics - Pediatric Hematology-Oncology in Philadelphia, PA
NPI Status: Active since July 07, 2005
Contact Information
34TH & CIVIC CENTER BLVD
CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 590-1000
- Individual
- Male
- Pediatrics
- Pediatric Hematology-Oncology
About SAMUEL BLACKMAN
This page provides the complete NPI Profile along with additional information for Samuel Blackman, 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 1790782605 assigned on July 2005. The practitioner's primary taxonomy code is 2080P0207X with license number MD433904 (PA). The provider is registered as an individual and his NPI record was last updated 17 years ago.
- NPI
- 1790782605
- Provider Name
- DR. SAMUEL CHARLES BLACKMAN MD, PHD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 34TH & CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA, PA 19104
- Location Phone
- (215) 590-1000
- Mailing Address
- 100 N 20TH ST STE 301 CHCA PHILADELPHIA, PA 19103
- Mailing Phone
- (215) 567-2422
- Mailing Fax
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-07-2005
- Last Update Date
- 10-03-2008
- Code Navigator
A pediatrician like Samuel Blackman 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.
- MD433904
- 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 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | MD433904 (PA) |
| 2 | 2080P0207X | Allopathic & Osteopathic Physicians | Pediatrics | 220358 (MA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30052689 | OTHER (01) | PA | KEYSTONE MERCY HEALTH PLAN --ONCOLOGY |
| A37946 | MEDICARE ID-TYPE UNSPECIFIED (04) | MA | |
| 30052688 | OTHER (01) | PA | KEYSTONE MERCY HEALTH PLAN --GENERAL PEDIATRICS |
| 64065881 | MEDICAID (05) | KY | |
| 11372260 | OTHER (01) | PA | CAQH ID |
| I22257 | MEDICARE UPIN (02) | ||
| 20074409 | OTHER (01) | PA | AMERIHEALTH MERCY HEALTH PLAN - GENERAL PEDIATRICS |
| 20074413 | OTHER (01) | PA | AMERIHEALTH MERCY HEALTH PLAN --ONCOLOGY |
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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 | 7 | 9 | 0 | 7 | 8 | 2 | 6 | 0 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 18 | 0 | 14 | 8 | 4 | 6 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 8 + 0 + 1 + 4 + 8 + 4 + 6 + 0 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1790782605 is valid because the calculated check digit 5 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 |
|---|---|---|---|
| 1407847429 | JENNIFER MARY SPELLMAN CRNP Individual | Nurse Practitioner (Pediatrics) | 34TH & CIVIC CENTER BLVD PHILADELPHIA, PA 19104 (215) 590-3440 |
| 1558334441 | DR. JUDITH NADINE GRACIA MD Individual | Specialist | 34TH & CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA, PA 19104 (215) 590-1000 |
| 1316983984 | DEE ANN S LISBY MD Individual | Pediatrics | 34TH & CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA, PA 19104 (215) 590-1000 |
| 1013953207 | DR. CHERIE D FOSTER MD Individual | Pediatrics (Neonatal-Perinatal Medicine) | 34TH & CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA, PA 19104 (215) 590-1000 |
| 1174543078 | SARAH TABBUTT M.D. Individual | Pediatrics | 34TH & CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA, PA 19104 (215) 590-1000 |
| 1972523256 | HILLARY L BURDETTE M.D. Individual | Pediatrics | 34TH & CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA, PA 19104 (215) 590-1000 |
| 1336160100 | CHRISTINA M COUGHLIN M.D. Individual | Pediatrics | 34TH & CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA, PA 19104 (215) 590-1000 |
| 1154343226 | BARBARA A HABER M.D. Individual | Pediatrics (Pediatric Gastroenterology) | 34TH & CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA, PA 19104 (215) 590-1000 |
| 1295757706 | MICHAEL D BLUM M.D. Individual | Pediatrics | 34TH & CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA, PA 19104 (215) 590-1000 |
| 1891717617 | JONATHAN R KALTMAN M.D. Individual | Pediatrics | 34TH & CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA, PA 19104 (215) 590-1000 |
| 1376567016 | ERIC S MALLER M.D. Individual | Pediatrics | 34TH & CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA, PA 19104 (215) 590-1000 |
| 1366466872 | CATHERINE S MANNO M.D. Individual | Pediatrics | 34TH & CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA, PA 19104 (215) 590-1000 |
| 1588678486 | ANNA T MEADOWS M.D. Individual | Pediatrics | 34TH & CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA, PA 19104 (215) 590-1000 |
| 1073527966 | ANNA H BAUMGAERTEL M.D. Individual | Pediatrics | 34TH & CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA, PA 19104 (215) 590-1000 |
| 1104832377 | SURESH G SHELAT M.D. Individual | Pediatrics | 34TH & CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA, PA 19104 (215) 590-1000 |
| 1619062668 | CHILDREN'S HEALTH CARE ASSOCIATES Organization | Pediatrics | 34TH & CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA, PA 19104 (215) 590-1000 |
| 1942395991 | CHILDREN'S HEALTH CARE ASSOCIATE'S INC. Organization | Pediatrics | 34TH & CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA, PA 19104 (215) 590-1000 |
| 1679662068 | DR. ROBERT D WILSON M.D. Individual | Obstetrics & Gynecology (Maternal & Fetal Medicine) | 34TH & CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA, PA 19104 (215) 590-2708 |
| 1710067392 | LAUREN KRIVITZKY PHD Individual | Psychologist (Clinical Child & Adolescent) | 34TH & CIVIC CENTER BLVD PHILADELPHIA, PA 19104 (215) 590-7555 |
| 1326105180 | MELISSA ANDREWS REARSON MSN,CRNP Individual | Nurse Practitioner (Pediatrics) | 34TH & CIVIC CENTER BLVD THE CHILDREN'S HOSPITAL OF PHILADELPHIA ENDOCRINOLOGY PHILADELPHIA, PA 19104 (215) 590-3174 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790782605, enumerated in the NPI registry as an "individual" on July 07, 2005
The provider is located at 34th & Civic Center Blvd Children's Hospital Of Philadelphia Philadelphia, Pa 19104 and the phone number is (215) 590-1000
The provider's speciality is Pediatrics with taxonomy code 2080P0207X with a focus in Pediatric Hematology-Oncology
The provider might be accepting Accepts: Medicare, Medicaid and AmeriHealth. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on July 07, 2005. 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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