KEITH ALLEN WEISSINGER (NPI# 1255347910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255347910 |
| Entity Type | Individual |
| Full Name | KEITH ALLEN WEISSINGER |
| Credential | M.D. |
| Practice Address |
7424 Bridgeport Way W Suite 103 Lakewood WA 98499-8120 |
| Practice Telephone | 2535812111 |
| Practice Fax Number | 2535812712 |
| Mailing Telephone | 2535812111 |
| Mailing Fax Number | 2535812712 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2011-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD00030882 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1082643 | 05 | |
| WA | LABOR & INDUSTRY | 187470 | 01 |
| WA | CRIME VICTIMS | 8925990 | 01 |
| Street Address |
7424 BRIDGEPORT WAY W SUITE 103 |
| City | LAKEWOOD |
| State | WA |
| Zip Code | 98499-8120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306820204 | Angela E Sison | Audiologist | 7424 Bridgeport Way W, Suite 305, Lakewood, WA 98499-8120 | 2005-12-04 |
| 1699394767 | Sea - Mar Community Health Center | Clinic/Center | 7424 Bridgeport Way W, Lakewood, WA 98499-8120 | 2020-04-09 |
| 1407492085 | Sea - Mar Community Health Center | Clinic/Center | 7424 Bridgeport Way W, Lakewood, WA 98499-8120 | 2019-11-19 |
| 1346809308 | Sea - Mar Community Health Center | Family Medicine | 7424 Bridgeport Way W, Lakewood, WA 98499-8120 | 2019-06-12 |
| 1528418936 | Laboratory Corporation of America | Clinical Medical Laboratory | 7424 Bridgeport Way W, Suite 201, Lakewood, WA 98499-8120 | 2016-06-16 |
| 1144403007 | Ear, Nose and Throat Associates of Tacoma, Ps | Specialist | 7424 Bridgeport Way W, #305, Lakewood, WA 98499-8120 | 2007-12-13 |
| 1134343775 | Oral Surgery Northwest | Dentist | 7424 Bridgeport Way W, Suite 311, Lakewood, WA 98499-8120 | 2007-04-13 |
| 1902955479 | Darlene Mumby Wood | Counselor | 7424 Bridgeport Way W, Suite 309, Lakewood, WA 98499-8120 | 2007-01-10 |
| 1922156645 | Penny Leah Tanner | Counselor | 7424 Bridgeport Way W, Suite 302, Lakewood, WA 98499-8120 | 2007-01-08 |
| 1770694713 | Lakewood Pediatric Associates, Pllc | Pediatrics | 7424 Bridgeport Way W, Ste 103, Lakewood, WA 98499 | 2006-08-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275159592 | Sea Mar Community Health Centers | Clinic/Center | 5700 100th Street Se, Suite 510, Lakewood, WA 98499 | 2020-06-23 |
| 1568018828 | Heather Leigh Andrade | Behavioral Analyst | 6210 75th St W Ste 100, Lakewood, WA 98499 | 2019-08-13 |
| 1043870876 | Seoul Chinese Herbs Inc | Acupuncturist | 8705 S. Tacoma Way, Lakewood, WA 98499 | 2019-06-14 |
| 1013572064 | Puget Sound Kidney Centers | Clinic/Center | 11950 47th Ave Sw, Lakewood, WA 98499 | 2019-05-06 |
| 1447736657 | Marcela Cunan | Counselor | 9330 59th Avenue Southest, Lakewood, WA 98499 | 2018-07-11 |
| 1609382381 | Leroy Moore IIi | Counselor | 8811 S. Tacoma Way, 106, Lakewood, WA 98499 | 2017-12-18 |
| 1578077657 | Andrea Gaston | Behavior Technician | 8815 S. Tacoma Way, Suite 122, Lakewood, WA 98499 | 2017-11-27 |
| 1609389931 | Jennifer King | Social Worker | 5900 100th St Sw Ste 17b, Lakewood, WA 98499 | 2017-11-08 |
| 1750806337 | Wonyoung Lee | Counselor | 8811 South Tacoma Way, Suite 106, Lakewood, WA 98499 | 2017-08-04 |
| 1043749443 | Frederick Paltron Edwards | Counselor | 9500 Front Street, Suite 100, Lakewood, WA 98499 | 2017-06-08 |
| Find all providers in zip 98499 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376170381 | Kathleen Sibyl Kress Farrell | Pediatrics | 14701 Detroit Ave Ste 250, Lakewood, OH 44107-4109 | 2020-03-27 |
| 1306305842 | Werzberger Pediatrics PC. | Pediatrics | 619 W County Line Rd, Lakewood, NJ 08701-1215 | 2019-03-14 |
| 1851893002 | Kayla Pediatrics, PC | Pediatrics | 1576 Lanes Mill Rd, Lakewood, NJ 08701-3839 | 2018-03-04 |
| 1558897272 | Ngoc Thien Nguyen | Pediatrics | 7424 Bridgeport Way W Ste 103, Lakewood, WA 98499-8137 | 2017-05-02 |
| 1104229285 | Avivit Zurkovsky | Pediatrics | 101 Seond Street, Lakewood, NJ 08701-3324 | 2014-10-02 |
| 1124285788 | Bram Greenberg | Pediatrics | 555 Hope Chapel Rd, Lakewood, NJ 08701-1517 | 2008-05-21 |
| 1841482635 | William R Fenster | Pediatrics | 1201 River Ave, Unit 10, Lakewood, NJ 08701-5676 | 2007-08-15 |
| 1831307800 | Pediatric Practice, Inc | Pediatrics | 14601 Detroit Ave Ste 395, Lakewood, OH 44107-4209 | 2007-05-21 |
| 1710199955 | Bryson V Ahlers | Pediatrics | 6212 75th, Lakewood, WA 98499 | 2007-05-03 |
| 1992847024 | Mukti Rana | Pediatrics | 101 Prospect St Ste 112, Lakewood, NJ 08701-5004 | 2007-02-13 |
| Find all providers in LAKEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.