BALLARD PEDIATRIC CLINIC INC PS (NPI# 1487876918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487876918 |
Entity Type | Organization |
Organization Name | BALLARD PEDIATRIC CLINIC INC PS |
Practice Address |
7554 15th Ave Nw Seattle WA 98117 |
Practice Telephone | 2067839300 |
Mailing Telephone | 2067839300 |
Mailing Fax Number | 2067898404 |
Enumeration Date | 2007-05-03 |
Last Update Date | 2007-07-17 |
Authorized Official Name | ROBERT W TELZROW (CEO) |
Authorized Official Telephone | 2067839300 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
Street Address |
7554 15TH AVE NW |
City | SEATTLE |
State | WA |
Zip Code | 98117 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275539660 | Timothy R Hall | Pediatrics | 7554 15th Ave Nw, Ballard Pediatric Clinic, Seattle, WA 98117 | 2005-06-22 |
1174722961 | Sarah F Munson | Pediatrics | 7554 15th Ave Nw, Seattle, WA 98117 | 2007-07-12 |
1679528178 | Mildred O Bay | Specialist | 7554 15th Ave Nw, Seattle, WA 98117 | 2006-05-23 |
1780650499 | David W Bowe | Pediatrics | 7554 15th Ave Nw, Ballard Pediatric Clinic, Seattle, WA 98117 | 2006-02-23 |
1962401778 | Kathryn H Delbeccaro | Pediatrics | 7554 15th Ave Nw, Seattle, WA 98117-5409 | 2005-07-14 |
1235137159 | Christianne E. Eldred | Pediatrics | 7554 15th Ave Nw, Seattle, WA 98117-5409 | 2005-07-13 |
1821096009 | Ourania B Malliris | Pediatrics | 7554 15th Ave Nw, Seattle, WA 98117-5409 | 2005-07-12 |
1215935481 | Edward M Mcmahon Jr. | Pediatrics | 7554 15th Ave Nw, Seattle, WA 98117-5409 | 2005-07-12 |
1265430441 | Matthew W Allen | Pediatrics | 7554 15th Ave Nw, Seattle, WA 98117-5409 | 2005-07-12 |
1073511259 | Robert W Telzrow | Pediatrics | 7554 15th Ave Nw, Seattle, WA 98117-5409 | 2005-07-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447882725 | Banner Dental | Dentist | 8540 1st Ave Nw Ste. 8, Seattle, WA 98117 | 2020-02-05 |
1114422045 | Solar Acupuncture LLC | Acupuncturist | 9015 Holman Rd Nw Suite 1 Room 12, Seattle, WA 98117 | 2018-03-23 |
1033610621 | Yijun Liang | Acupuncturist | 9015 Holman Rd Nw Suite 1,room 12, Seattle, WA 98117 | 2018-02-28 |
1205337235 | Lily Jee-eun Rosenblum | Student in an Organized Health Care Education/Training Program | 7028 21st Ave Nw, Seattle, WA 98117 | 2018-02-25 |
1649782681 | Functional Medicine Northwest | Clinic/Center | 8010 15th Ave Nw, Suite D, Seattle, WA 98117 | 2017-10-31 |
1558812578 | Sarah J Harwood | Counselor | 8322 11th Ave Nw, Seattle, WA 98117 | 2016-10-14 |
1083085617 | Hannah Gordon | Naturopath | 2038 Nw Market Street Zoomcare Ballard, Seattle, WA 98117 | 2015-10-08 |
1629322698 | Aimee Therese Denver | Registered Nurse | 3023 Nw 72nd Street, Seattle, WA 98117 | 2012-10-30 |
1649523101 | Drx Wa Urgent Care Providers, Pllc | Clinic/Center | 9000 Holman Road Nw, Suite A1, Seattle, WA 98117 | 2012-10-22 |
1922350248 | Bodhi Tree LLC | Chiropractor | 2808-ii E Madison Street, Suite 203, Seattle, WA 98117 | 2012-10-10 |
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Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407354657 | Vera Whole Health Wa PC | Clinic/Center | 2318 4th Avenue, Seattle, WA 98121 | 2018-01-23 |
1649782681 | Functional Medicine Northwest | Clinic/Center | 8010 15th Ave Nw, Suite D, Seattle, WA 98117 | 2017-10-31 |
1750790010 | Vera Whole Health Wa PC | Clinic/Center | 500 5th Ave North, Seattle, WA 98109 | 2014-08-11 |
1235577958 | Vera Whole Health Wa PC | Clinic/Center | 605 5th Ave S #150, Seattle, WA 98104-3886 | 2013-06-05 |
1326385451 | Hopecentral | Clinic/Center | 3826 S Othello St, Seattle, WA 98118-3562 | 2013-01-09 |
1619224698 | Tiger Health Clinic | Clinic/Center | 11680 Renton Ave S, Seattle, WA 98178-3044 | 2012-08-09 |
1144589680 | Grace Grymes Chapman Pllc | Clinic/Center | 5400 California Ave Sw Ste F, Seattle, WA 98136-1501 | 2012-05-03 |
1780985333 | Primary Care Clinic, Inc | Clinic/Center | 4203 Rainier Ave S, Suite C, Seattle, WA 98118-1390 | 2010-11-14 |
1316099724 | Holistic Health West | Clinic/Center | 4744 41st Ave Sw Ste 102, Seattle, WA 98116-4566 | 2007-01-17 |
1902989577 | West Seattle Community Clinic Pllc | Clinic/Center | 9001 35th Ave Sw, Seattle, WA 98126-4801 | 2006-10-24 |
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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.