PARKVIEW PEDIATRICS INC (NPI# 1497824726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497824726 |
| Entity Type | Organization |
| Organization Name | PARKVIEW PEDIATRICS INC |
| Other Organization Name | PARKVIEW PEDIATRICS AND FAMILY MEDICINE |
| Practice Address |
615 S Division St Moses Lake WA 98837-3800 |
| Practice Telephone | 5097669450 |
| Practice Fax Number | 5097649407 |
| Mailing Telephone | 5097669450 |
| Mailing Fax Number | 5097649407 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2009-09-30 |
| Authorized Official Name | DR. JILL ANN DUDIK BROSS (PRESIDENT) |
| Authorized Official Telephone | 5097669450 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0050X |
Clinic/Center Specialization: Family Planning, Non-Surgical |
7900988 | WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7900988 | 05 |
| Other Name | Type Code |
|---|---|
| Parkview Pediatrics and Family Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609872761 | Parkview Pediatrics Inc | Pediatrics | 615 S Division St, Moses Lake, WA 98837-3800 | 2005-06-23 |
| 1780809244 | Parkview Pediatrics Inc | Health Maintenance Organization | 615 S Division St, Moses Lake, WA 98837-3800 | 2007-04-17 |
| 1063435998 | Parkview Pediatrics Inc | Clinic/Center | 615 S Division St, Moses Lake, WA 98837-3800 | 2006-07-25 |
| Street Address |
615 S DIVISION ST |
| City | MOSES LAKE |
| State | WA |
| Zip Code | 98837-3800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609872761 | Parkview Pediatrics Inc | Pediatrics | 615 S Division St, Moses Lake, WA 98837-3800 | 2005-06-23 |
| 1780809244 | Parkview Pediatrics Inc | Health Maintenance Organization | 615 S Division St, Moses Lake, WA 98837-3800 | 2007-04-17 |
| 1578671251 | Daniel Hughes Hansen | Chiropractor | 615 S Division St, Ste C3, Moses Lake, WA 98837 | 2006-08-25 |
| 1063435998 | Parkview Pediatrics Inc | Clinic/Center | 615 S Division St, Moses Lake, WA 98837-3800 | 2006-07-25 |
| 1225071897 | Robert David Hylander | Allergy & Immunology | 615 S Division St, Suite B, Moses Lake, WA 98837-3800 | 2006-06-13 |
| 1205837242 | Jill A Dudik Bross | Pediatrics | 615 S Division St, Moses Lake, WA 98837-3800 | 2005-08-01 |
| 1174529226 | Karl Christopher Kubo | Pediatrics | 615 S Division St, Moses Lake, WA 98837-3800 | 2005-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316447097 | Lateef Ajani Olaniyan | Pharmacist | 2709 W Broadway Avenue, Southgate Pharmacy, Moses Lake, WA 98837 | 2018-02-19 |
| 1982117651 | Amanda M Cross | Massage Therapist | 2200 S. Maiers Rd., Suite B, Moses Lake, WA 98837 | 2017-11-15 |
| 1962928200 | E & H Holdings, LLC | Family Medicine | 708 E Penn St, Moses Lake, WA 98837 | 2017-08-18 |
| 1912366881 | Tara L Zamarron | Nurse Practitioner | 1550 S. Pioneer Way, Samaritan Family Physicians, Moses Lake, WA 98837 | 2016-02-19 |
| 1124401732 | Christian Mmadibuobu Okafor | Dentist | 605 South Coolidge Street, Moses Lake Community Health Center, Moses Lake, WA 98837 | 2015-06-30 |
| 1790182004 | Tari Ann Devaney | Dental Hygienist | 605 Coolidge Drive, Moses Lake, WA 98837 | 2014-12-02 |
| 1356746150 | Anna Marie Peterson | Counselor | 814 S. Wilder St., Moses Lake, WA 98837 | 2014-10-23 |
| 1699119495 | Geoffrey T. Ping D.d.s. and Asia Dela Cruz D.d.s. Pllc | Dentist | 800 N. Stratford Rd., Moses Lake, WA 98837 | 2013-04-23 |
| 1831433325 | George Kenyon Exeter | Physical Therapy Assistant | 817 E Plum Ave, Moses Lake, WA 98837 | 2012-11-21 |
| 1114219698 | Sound Oxygen Service Inc | Durable Medical Equipment & Medical Supplies | 1010 S Pioneer Way Ste C, Moses Lake, WA 98837 | 2011-05-03 |
| Find all providers in zip 98837 | ||||
| Taxonomy Code | 261QF0050X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Family Planning, Non-Surgical |
| An entity, facility, or distinct part of a facility, or mobile unit providing non-surgical, family planning/reproductive services including physical examination, laboratory services such as PAP or pregnancy tests; pregnancy, pregnancy prevention/contraceptive, and nutritional counseling, and contraceptives or prescriptions for contraceptives. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023341997 | Family Services | Clinic/Center | 1402 E Craig Street, Moses Lake, WA 98837 | 2009-09-10 |
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|---|---|---|---|---|
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| 1427561018 | Sea-mar Community Health Center | Clinic/Center | 3560 Bridgeport Way W Ste 1a, University Place, WA 98466-4446 | 2017-11-06 |
| 1649783259 | Sea-mar Community Health Center | Clinic/Center | 10217 125th Street Ct E Ste 300, Puyallup, WA 98374-2761 | 2017-11-06 |
| 1891104980 | Sea Mar Community Health Center | Clinic/Center | 2342 Tacoma Ave S, Tacoma, WA 98402-1408 | 2014-08-04 |
| 1801204078 | Sea-mar Community Health Center | Clinic/Center | 14916 Washington Ave Sw, Lakewood, WA 98498-2271 | 2014-07-31 |
| 1366792707 | Sea-mar Community Health Center | Clinic/Center | 1920 100th Street Ne, Everett, WA 98208 | 2012-09-13 |
| 1124230941 | Family Health Centers | Clinic/Center | 716 1st Ave, Okanogan, WA 98840-9679 | 2007-05-04 |
| 1801962501 | Planned Parenthood of Western Washington | Clinic/Center | 702 30th Ave Sw, Puyallup, WA 98373-2756 | 2006-11-27 |
| 1255400073 | Feminist Women's Health Center | Clinic/Center | 1401-a Martin Luther King Junior Way, Tacoma, WA 98405 | 2006-11-07 |
| 1245206507 | Feminist Women's Health Center | Clinic/Center | 263 Rainier Ave S, Ste 200, Renton, WA 98057-2055 | 2006-02-27 |
| Find all providers with the same taxonomy | ||||
| City | MOSES LAKE |
| Zip Code | 98837 |
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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.