Provider Type Icon

NORTHWEST PEDIATRIC OTOLARYNGOLOGY GROUP NPI 1689607855


NPI Information

NPI: 1689607855
Provider Name: NORTHWEST PEDIATRIC OTOLARYNGOLOGY GROUP
Classification: Otolaryngology - 207YP0228X
Entity Type: Organization

Specialization: Pediatric Otolaryngology

Address:
6850 35TH AVE NE
SUITE 4
SEATTLE, WA
ZIP 98115
Phone: (206) 525-0903
Get Directions

NORTHWEST PEDIATRIC OTOLARYNGOLOGY GROUP is a pediatric otolaryngology otolaryngology in Seattle, WA. The provider is a pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing. NORTHWEST PEDIATRIC OTOLARYNGOLOGY GROUP NPI is 1689607855. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6850 35TH AVE NE
SUITE 4
SEATTLE, WA
ZIP 98115-344
Phone: (206) 525-0903
Fax: (866) 497-3901

The provider's authorized official is Anifat O Balogun .
The authorized official title is Owner and has the following contact phone number (206) 525-0903.

The enumeration date for this NPI number is 7/9/2006 and was last updated on 9/10/2012.


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
1207YP0228XOtolaryngologyPediatric OtolaryngologyMD00039276WASHINGTONYes

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
161-1494589OTHERTAX ID (EIN)
28858647MEDICARE ID-TYPE UNSPECIFIEDWASHINGTONMEDICARE GROUP #
3=========OTHERWASHINGTONEIN

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

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.