CHILDREN'S CLINIC OF SOUTH SNOHOMISH COUNTY, LTD (NPI# 1669645172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669645172 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S CLINIC OF SOUTH SNOHOMISH COUNTY, LTD |
| Practice Address |
21600 Hwy 99 Suite 290 Edmonds WA 98026-8012 |
| Practice Telephone | 4257780191 |
| Practice Fax Number | 4256722110 |
| Mailing Telephone | 4257780191 |
| Mailing Fax Number | 4256722110 |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2008-04-04 |
| Authorized Official Name | LISA M GOVAERT (OFFICE MANAGER) |
| Authorized Official Telephone | 4257757464 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7077027 | 05 |
| Street Address |
21600 HWY 99 SUITE 290 |
| City | EDMONDS |
| State | WA |
| Zip Code | 98026-8012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386636934 | David L Heard | Physical Medicine & Rehabilitation | 21600 Hwy 99, Suite 255, Edmonds, WA 98026-8012 | 2005-08-19 |
| 1750471892 | Said Yaaqoubi | Specialist | 21600 Hwy 99, Siute150, Edmonds, WA 98026-8047 | 2006-10-12 |
| 1821012915 | Raymond Liu | Dentist | 21600 Hwy 99, Suite 100, Edmonds, WA 98026-8012 | 2006-07-26 |
| 1033132956 | Puget Sound Gastroenterology, Pllc | Internal Medicine | 21600 Hwy 99, Suite 260, Edmonds, WA 98026-8012 | 2006-07-25 |
| 1235150947 | Timothy E Little | Internal Medicine | 21600 Hwy 99, Suite 260, Edmonds, WA 98026-8012 | 2006-07-21 |
| 1174544712 | Jason I Schneier | Internal Medicine | 21600 Hwy 99, Suite 260, Edmonds, WA 98026-8012 | 2006-07-21 |
| 1811914625 | Puget Sound Gastroenterology, Pllc | Clinic/Center | 21600 Hwy 99, Suite 260, Edmonds, WA 98026-8012 | 2006-07-16 |
| 1912924739 | Jinfeng J Guo | Internal Medicine | 21600 Hwy 99, Suite 260, Edmonds, WA 98026-8012 | 2006-07-16 |
| 1275569980 | Druska L Salisbury-milan | Physician Assistant | 21600 Hwy 99, Suite 280, Edmonds, WA 98026-8012 | 2006-06-24 |
| 1982699393 | Agnes Wong | Pediatrics | 21600 Hwy 99, Suite 290, Edmonds, WA 98026-8012 | 2005-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833526 | Enas Hamid Albar | Student in an Organized Health Care Education/Training Program | 7500 212th Street S.w., Suite 205, Edmonds, WA 98026 | 2020-08-26 |
| 1215579453 | Kailey Anne Matulich | Technician | 21630 84th Ave W, Edmonds, WA 98026 | 2019-10-09 |
| 1154962124 | Steven M Weible | Technician | 21630 84th Ave, Edmonds, WA 98026 | 2019-10-01 |
| 1053767293 | Hyo Kyung Kim | Pharmacist | 22618 Hwy 99 Ste 109, Edmonds, WA 98026 | 2016-05-06 |
| 1679947956 | Lucilyn Lumio | Occupational Therapist | 21008 76th Avenue W, Edmonds, WA 98026 | 2015-11-24 |
| 1669844205 | Kathleen Schmitt | Pharmacist | 21601 76th Ave West, Edmonds, WA 98026 | 2015-10-22 |
| 1689087967 | Ronald Paul Meagher | Anesthesiology | 7305 173rd St Sw, Edmonds, WA 98026 | 2014-06-04 |
| 1598194342 | Allison Alberton | Surgery | 7315 212th St Sw Ste 201, Edmonds, WA 98026 | 2013-11-02 |
| 1356681019 | Tekle Zewolday Eysadik | Registered Nurse | 8102 - 226 St Sw, Edmonds, WA 98026 | 2013-02-18 |
| 1447557087 | Diane Taylor | Counselor | 20903 70th Ave W., Edmonds, WA 98026 | 2011-02-17 |
| Find all providers in zip 98026 | ||||
| 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 |
|---|---|---|---|---|
| 1235367947 | Angela Anne Scott | Pediatrics | 21600 Highway 99 Ste 290, Edmonds, WA 98026-8022 | 2009-07-01 |
| 1851332522 | Varun Marron Jhaveri | Pediatrics | 23320 Highway 99, Edmonds, WA 98026-8744 | 2006-06-10 |
| 1487764502 | Annika Kai Sutton-wolf | Pediatrics | 21600 Highway 99, Suite 290, Edmonds, WA 98026-8012 | 2006-08-30 |
| 1134170335 | Gabriel Berson | Pediatrics | 21600 Highway 99, Edmonds, WA 98026-8012 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252011 | T-town Pediatrics Pllc | Pediatrics | 6002 Westgate Blvd Ste 260, Tacoma, WA 98406-2571 | 2020-10-15 |
| 1659997831 | Lauren Elizabeth Strout | Pediatrics | 2510 N Pines Rd Ste 1, Spokane Valley, WA 99206-7636 | 2020-06-23 |
| 1376170878 | Andrew Crompton Yazman | Pediatrics | 4800 Sand Point Way, Ne Oc.7.830, Seattle, WA 98105 | 2020-03-25 |
| 1407491251 | Edwin Low | Pediatrics | 6207 156th Ave Ne, Redmond, WA 98052-4828 | 2019-11-14 |
| 1700428323 | Michelle Kice | Pediatrics | 6201 Reid Dr Nw, Gig Harbor, WA 98335-1349 | 2019-10-15 |
| 1265085682 | North Sound Pediatrics | Pediatrics | 15808 Mill Creek Blvd Ste 201, Mill Creek, WA 98012-1500 | 2019-07-24 |
| 1053976589 | Nicole Marie Banks | Pediatrics | 9910 Levin Rd Nw Ste 200, Silverdale, WA 98383-7789 | 2019-05-09 |
| 1962964726 | Michael Arenson | Pediatrics | 4800 Sand Point Way Ne # Oc 7/8, Seattle, WA 98105-3901 | 2019-04-02 |
| 1083179154 | Sea - Mar Community Health Center | Pediatrics | 9635 Des Moines Memorial Dr, Seattle, WA 98108-5061 | 2019-02-04 |
| 1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CHILDREN'S CLINIC OF SOUTH SNOHOMISH COUNTY, LTD.
| 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.