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PEDIATRIX CARDIOLOGY OF WASHINGTON P.C. NPI 1164445367


NPI Information

NPI: 1164445367
Provider Name: PEDIATRIX CARDIOLOGY OF WASHINGTON, P.C.
Classification: Pediatrics - 2080P0202X
Entity Type: Organization

Specialization: Pediatric Cardiology

Address:
314 MARTIN LUTHER KING JR WAY
STE. 303
TACOMA, WA
ZIP 98405
Phone: (253) 396-4868
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PEDIATRIX CARDIOLOGY OF WASHINGTON, P.C. is a pediatric cardiology pediatrics in Tacoma, WA. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. PEDIATRIX CARDIOLOGY OF WASHINGTON, P.C. NPI is 1164445367. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

314 MARTIN LUTHER KING JR WAY
STE. 303
TACOMA, WA
ZIP 98405-250
Phone: (253) 396-4868
Fax: (253) 396-4870

The provider's authorized official is Nanette Sanders .
The authorized official title is Assistant Secretary and has the following contact phone number (800) 243-3839.

The enumeration date for this NPI number is 7/26/2006 and was last updated on 9/12/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0202XPediatricsPediatric CardiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11164445367MEDICAIDIDAHO
21164445367MEDICAIDWASHINGTON
3MDG20WAMEDICAIDALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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