Healthcare Provider Details

I. General information

NPI: 1740579689
Provider Name (Legal Business Name): JULIA CAROLINE MEADE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2011
Last Update Date: 06/04/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DIVISION OF PEDIATRIC HEMATOLOGY/ONCOLOGY 4401 PENN AVE PLAZA BLDG 5TH FLOOR 507
PITTSBURGH PA
15224
US

IV. Provider business mailing address

DIVISION OF PEDIATRIC HEMATOLOGY/ONCOLOGY 4401 PENN AVE PLAZA BLDG 5TH FLOOR 507
PITTSBURGH PA
15224
US

V. Phone/Fax

Practice location:
  • Phone: 412-692-7608
  • Fax: 412-692-7816
Mailing address:
  • Phone: 214-456-0487
  • Fax: 214-648-2764

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberP9649
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License Number125.071424
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: