A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatric Hematology-Oncology |
2080P0207X | 37 | Physician/Pediatric Medicine | |
Child & Adolescent Psychiatry |
2084P0804X | 86 | Physician/Neuropsychiatry | |
Clinical Neuropsychologist |
103G00000X | |||
Dentist |
122300000X | |||
Hospitalist |
208M00000X | |||
Pediatric Dentistry |
1223P0221X | |||
Pediatric Emergency Medicine |
2080P0204X | 37 | Physician/Pediatric Medicine | |
Pediatric Pathology |
207ZP0213X | 22 | Physician/Pathology | |
Pediatric Rehabilitation Medicine |
2081P0010X | 25 | Physician/Physical Medicine and Rehabilitation | |
Pediatrics |
363LP0200X | 50 | Nurse Practitioner |
| NPI Number | 1184779332 |
| LBN Legal business name | SCOTTISH RITE CHILDREN'S MEDICAL CENTER |
| Authorized official | RUTH FOWLER - (CHIEF FINANCIAL OFFICER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 01/25/2007 |
| Last updated | 10/17/2025 - About 8 months ago |
| Identifiers | n/a |
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SCOTTISH RITE CHILDREN'S MEDICAL CENTER
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