Provider Type Icon

RICHMOND PEDIATRIC CLINIC INC. P.S. NPI 1114962446


NPI Information

NPI: 1114962446
Provider Name: RICHMOND PEDIATRIC CLINIC INC. P.S.
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 50D0633458

Address:
357 NW RICHMOND BEACH RD
RICHMOND PEDIATRICS
SHORELINE, WA
ZIP 98177
Phone: (206) 546-2421
Get Directions

RICHMOND PEDIATRIC CLINIC INC. P.S. is a pediatrics in Shoreline, WA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. RICHMOND PEDIATRIC CLINIC INC. P.S. NPI is 1114962446. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

357 NW RICHMOND BEACH RD
RICHMOND PEDIATRICS
SHORELINE, WA
ZIP 98177
Phone: (206) 546-2421
Fax: (206) 542-9028

The provider's authorized official is Jeffrey C Ernst .
The authorized official title is Secty/treas and has the following contact phone number (206) 546-2421.

The CLIA number assigned to this NPI record is 50D0633458 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/19/2006 and was last updated on 6/10/2015.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsNo
2208000000XPediatricsMD00038513WASHINGTONYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17039175MEDICAIDWASHINGTON
28253270MEDICAIDWASHINGTON
3G8935065MEDICARE PINWASHINGTON
4C69370MEDICARE UPINWASHINGTON

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.