Dr. Evan Samuel Cantor

MD | Pediatric Hematology-Oncology | Male

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Complete Profile:

Dr. Evan Samuel Cantor basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Hematology-Oncology
Provider Name :	Dr. Evan Samuel Cantor
Credential :	MD
Gender :	Male

Business Address:

Dr. Evan Samuel Cantor address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	1 Childrens Pl, Div Ped Hematology & Onc Saint Louis, MO, 63110-1002 United States
Phone Number :	314-454-6018
Fax Number :	844-621-4392

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1649684937
NPI Entity Type :	Individual
First Enrolment Date :	16 Jun, 2014
Last Updated On :	15 Nov, 2021

Medicare Participation:

Dr. Evan Samuel Cantor participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	0446523328
Medicare Enrollment ID :	I20220610001028
Primary Specialty :	Pediatric Medicine
Medical School :	Other
Graduation Year :	2014
Accepts Medicare?	Yes. Dr. Evan Samuel Cantor accepts medicare insurance.

Group Practice Association:

Dr. Evan Samuel Cantor is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Evan Samuel Cantor is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Connecticut Children's Specialty Group, Inc	6002720117	111	282 Washington St Hartford, CT - 061063322 Ph: 8605459000	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Evan Samuel Cantor are as mentioned. Primary taxonomy code for Dr. Evan Samuel Cantor, MD is 2080P0207X (Pediatrics Pediatric Hematology-Oncology).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	2021015342	MO
2080P0207X	Pediatrics Pediatric Hematology-Oncology	Yes	2021015342	MO

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	1 Childrens Pl, Msc 8515-87-1200 Saint Louis, MO, 63110-1002 United States
Phone Number :	314-454-6095
Fax Number :	844-621-4392

Business Location:

Patients can refer following map for directions to Dr. Evan Samuel Cantor practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.