PARKVIEW PEDIATRICS INC (NPI# 1609872761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609872761 |
| Entity Type | Organization |
| Organization Name | PARKVIEW PEDIATRICS INC |
| Practice Address |
615 S Division St Moses Lake WA 98837-3800 |
| Practice Telephone | 5097669450 |
| Practice Fax Number | 5097661954 |
| Mailing Telephone | 5097669450 |
| Mailing Fax Number | 5097661954 |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2012-12-24 |
| Authorized Official Name | DR. JILL ANN DUDIK BROSS (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 5097669450 |
| Authorized Official Credential | MD FAAP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | MD0025968 | WA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | MD60174015 | WA | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | MD00026434 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7112600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780809244 | Parkview Pediatrics Inc | Health Maintenance Organization | 615 S Division St, Moses Lake, WA 98837-3800 | 2007-04-17 |
| 1497824726 | Parkview Pediatrics Inc | Clinic/Center | 615 S Division St, Moses Lake, WA 98837-3800 | 2006-11-08 |
| 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 |
|---|---|---|---|---|
| 1780809244 | Parkview Pediatrics Inc | Health Maintenance Organization | 615 S Division St, Moses Lake, WA 98837-3800 | 2007-04-17 |
| 1497824726 | Parkview Pediatrics Inc | Clinic/Center | 615 S Division St, Moses Lake, WA 98837-3800 | 2006-11-08 |
| 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 | 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 |
|---|---|---|---|---|
| 1669633376 | Ladan Modallel | Pediatrics | 1550 S Pioneer Way Ste 370, Moses Lake, WA 98837-4618 | 2008-06-24 |
| 1871023275 | Conrado Deleon Md | Pediatrics | 403 Canterbury Ln, Moses Lake, WA 98837-1822 | 2017-06-18 |
| 1144668005 | Carissa Lynn Armstrong | Pediatrics | 840 E Hill Ave, Moses Lake, WA 98837-2238 | 2013-06-12 |
| 1457627937 | Summer Lynn Day | Pediatrics | 840 E Hill Ave, Moses Lake, WA 98837-2238 | 2012-03-28 |
| 1992997654 | Natalie Rose Paluch | Pediatrics | 840 E Hill Ave, Moses Lake, WA 98837-2238 | 2007-08-15 |
| 1407974116 | Toby B Bond | Pediatrics | 840 E Hill Ave, Moses Lake, WA 98837-2238 | 2007-03-27 |
| 1548366172 | Kevin Eliot Juro | Pediatrics | 840 E Hill Ave, Moses Lake, WA 98837-2238 | 2006-09-14 |
| 1972610616 | Mohammed Wajid Siddiqi | Pediatrics | 840 E Hill Ave, Moses Lake, WA 98837-2238 | 2006-08-25 |
| 1184648693 | Marta A Beaubien | Pediatrics | 840 E Hill Ave, Moses Lake, WA 98837-2238 | 2006-07-27 |
| 1174541445 | Karen M Lindberg | Pediatrics | 840 E Hill Ave, Moses Lake, WA 98837-2238 | 2006-07-17 |
| Find all providers in MOSES LAKE | ||||
| 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.