CCM SPECIALTY CARE LLC NPI 1306636741

NPI Information

  • NPI: 1306636741
  • Provider Name: CCM SPECIALTY CARE LLC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • :
  • Address: 710 S 348TH ST STE B
    FEDERAL WAY, WA
    ZIP 98003
  • Phone: (425) 276-1825

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NPI Details

CCM SPECIALTY CARE LLC is a pediatrics in Federal Way, 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. CCM SPECIALTY CARE LLC NPI is 1306636741. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

710 S 348TH ST STE B
FEDERAL WAY, WA
ZIP 98003-042
Phone: (425) 276-1825
Fax: (206) 899-1299

The provider's authorized official is Christopher Cheng .
The authorized official title is Medical Director and has the following contact phone number (425) 276-1825.

The enumeration date for this NPI number is 5/8/2025 and was last updated on 11/27/2025.

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
12080P0203XPediatricsPediatric Critical Care MedicineNo
22080P0214XPediatricsPediatric PulmonologyNo
32080P0201XPediatricsPediatric Allergy/ImmunologyNo
42080A0000XPediatricsAdolescent MedicineNo
52080P0206XPediatricsPediatric GastroenterologyNo
62080S0010XPediatricsSports MedicineNo
72080P0008XPediatricsNeurodevelopmental DisabilitiesNo
82080S0012XPediatricsSleep MedicineNo
92080P0006XPediatricsDevelopmental - Behavioral PediatricsNo
102080P0205XPediatricsPediatric EndocrinologyNo
112080P0216XPediatricsPediatric RheumatologyNo
122080N0001XPediatricsNeonatal-Perinatal MedicineNo
132080B0002XPediatricsObesity MedicineNo
142080P1004XPediatricsPhysician Nutrition SpecialistNo
15208000000XPediatricsYes

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: 11/21/2025

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