KAORU TAKASAKI


Address: 3401 Civic Center Blvd, Division of Pediatric Hematology/oncology, Philadelphia, PA 19104-4319
Phone: 2674253035

KAORU TAKASAKI (NPI# 1639533649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639533649
Entity Type Individual
Full Name KAORU TAKASAKI
Credential MD
Practice Address 3401 Civic Center Blvd
Division of Pediatric Hematology/oncology
Philadelphia
PA 19104-4319
Practice Telephone 2674253035
Mailing Telephone 2674253035
Enumeration Date 2016-04-06
Last Update Date 2019-06-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0207X Pediatrics
Specialization: Pediatric Hematology-Oncology
MT217946 PA Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
725 Welch Rd, Mc 5906, Palo Alto, CA 943041601 6504978979 6504978228

Office Location

Street Address 3401 CIVIC CENTER BLVD
DIVISION OF PEDIATRIC HEMATOLOGY/ONCOLOGY
City PHILADELPHIA
State PA
Zip Code 19104-4319

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467458463 Jeffrey R Boris Pediatrics 3401 Civic Center Blvd, Children's Hospital of Philadelphia - Cardiology, Philadelphia, PA 19104-4319 2005-06-23
1932700259 Rukhsar Karim Machiwalla Physician Assistant 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2020-11-03
1346840519 Vanessa Leigh Jones Nurse Practitioner 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2020-10-27
1275131849 Kelsey Ann Maher Physician Assistant 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2020-10-15
1437756020 Jennifer-rose Eccles Nurse Practitioner 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2020-10-06
1891309787 Morgan Mcmanus Genetic Counselor, MS 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2020-09-08
1891309456 Abigail G Stefanides Physician Assistant 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2020-09-01
1124631247 Abrar Khaled Alabdulhadi Pediatrics 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2020-08-28
1003427014 Terrence Caldwell Jr. Pharmacist 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2020-08-13
1760093298 Paige Emily Naschke Nurse Practitioner 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2020-08-10
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639770829 Michelle Morris Student in an Organized Health Care Education/Training Program Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 2020-11-04
1346853041 Spectrum Health Services, Inc. Clinic/Center 1415 South University Ave, Philadelphia, PA 19104 2020-08-24
1770104259 Fatimah Sorefan-mangou Student in an Organized Health Care Education/Training Program 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
1114548690 Rebecca Blaguski Registered Nurse The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
1952944175 Rebecca Miriam Barmherzig Psychiatry & Neurology 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 2019-10-21
1891257101 James Paul Byrne Surgery Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 2019-04-04
1093276453 Lauren Shreve Student in an Organized Health Care Education/Training Program Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 2019-03-28
1285194282 Lauren M Christie Student in an Organized Health Care Education/Training Program Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 2019-03-25
1114487683 Sabrina Layne Student in an Organized Health Care Education/Training Program 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 2019-03-21
1811457310 Kia Lor Student in an Organized Health Care Education/Training Program Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 2019-03-21
Find all providers in zip 19104

Taxonomy Information

Taxonomy Code 2080P0207X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Hematology-Oncology

Taxonomy Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356668503 Sarah Ann Richman Pediatrics 3501 Civic Center Blvd, Ctrb 4020, Philadelphia, PA 19104-3820 2010-04-28
1063050680 Stc Pediatrics LLC Pediatrics 160 E Erie Ave, Philadelphia, PA 19134-1011 2019-12-13
1023656931 Stc Pediatrics LLC Pediatrics 160 E Erie Ave, Philadelphia, PA 19134-1011 2019-12-11
1083191852 Caroline Jane Diorio Pediatrics 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2018-07-25
1699299917 Amanda Li Pediatrics 3401 Civic Center Blvd, Division of Oncology, Philadelphia, PA 19104 2017-07-28
1194254557 Haley Newman Pediatrics 3401 Civic Center Blvd, Division of Oncology, Philadelphia, PA 19104-4319 2017-06-08
1194266478 Christina Turn Pediatrics 3401 Civic Center Blvd, Division of Hematology/oncology, Philadelphia, PA 19104 2017-03-20
1255786075 Michelle Perry Milligan Pediatrics 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2016-04-29
1952765190 Kailin Hsu Pediatrics 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2016-04-13
1225492945 Aleksandra Sarah Dain Pediatrics 3401 Civic Center Blvd, Division of Pediatric Hematology/oncology, Philadelphia, PA 19104 2016-04-08
Find all providers in PHILADELPHIA

Competitor

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City PHILADELPHIA
Zip Code 19104

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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