PEDIATRIX MEDICAL GROUP (NPI# 1730265166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730265166 |
| Entity Type | Organization |
| Organization Name | PEDIATRIX MEDICAL GROUP |
| Practice Address |
2811 Tieton Dr Yakima WA 98902-3761 |
| Mailing Address |
606 Gore Rd Selah WA 98942-9739 |
| Practice Telephone | 5095758026 |
| Practice Fax Number | 5095775061 |
| Mailing Telephone | 5096978726 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ROBERT M SKARIN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 5095758026 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC2000X |
General Acute Care Hospital Specialization: Children |
AP30003108 | WA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | PROVIDER NO. FOR PMG | 815 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114122900 | Pediatrix Medical Group | Pediatrics | Pda 37 Ave Ponce De Leon, San Juan, PR 00902 | 2007-06-20 |
| 1881619781 | Pediatrix Medical Group | Nurse Practitioner | 2620 W 143rd St, Leawood, KS 66224-9679 | 2006-07-12 |
| 1326399601 | Pediatrix Medical Group | General Acute Care Hospital | 615 S New Ballas Rd, Neonatal Intensive Care Unit, Saint Louis, MO 63141-8221 | 2012-09-26 |
| 1093959157 | Pediatrix Medical Group | Nurse Practitioner | 7101 Jahnke Rd, Richmond, VA 23225-4017 | 2009-04-20 |
| 1467677476 | Pediatrix Medical Group | General Acute Care Hospital | 777 Hemlock St, Box 119, Macon, GA 31207-0001 | 2007-04-16 |
| 1326150426 | Pediatrix Medical Group | General Acute Care Hospital | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2006-08-31 |
| 1235168980 | Pediatrix Medical Group | Pediatrics | 621 S New Ballas Rd, Suite 2016b, Saint Louis, MO 63141-8232 | 2006-07-02 |
| 1740234145 | Pediatrix Medical Group | General Acute Care Hospital | 1201 W 38th St, Neonatal Department, Austin, TX 78705-1006 | 2006-05-20 |
| 1023069036 | Pediatrix Medical Group | General Acute Care Hospital | 5149 N 9th Ave, Pensacola, FL 32504-8756 | 2006-05-14 |
| 1972554962 | Pediatrix Medical Group | Nurse Practitioner | 3001 E President George Bush Hwy, Suite 250, Richardson, TX 75082-3542 | 2006-05-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | PEDIATRIX MEDICAL GROUP OF COLORADO, P.C. | 1301 Concord Terrace, Sunrise, FL 33323 |
| Alabama Business Registrations | Pediatrix Medical Group of Florida, Inc. | 1301 Concord Terrace, Sunrise, FL 33323 |
| Indiana Business Entities | PEDIATRIX MEDICAL GROUP OF INDIANA, P.C. | 1301 Concord Terrace, Sunrise, FL 33323 |
| Oregon Corporations, Companies and Business Names | PEDIATRIX MEDICAL GROUP OF OREGON | 1301 Concord Terr, Sunrise, FL 33323 |
| Virginia Business Entities | Pediatrix Medical Group of the Mid-Atlantic P.C. | 1301 Concord Terrace, Sunrise, Florida 33323 |
| Washington State Corporations | PEDIATRIX MEDICAL GROUP OF WASHINGTON, INC., P.S. | 1301 Concord Terrace, Sunrise, FL 33323 |
| Virginia Business Entities | Pediatrix Medical Group P.C. | 1301 Concord Terrace, Sunrise, Florida 33323 |
| Virginia Business Entities | Pediatrix Medical Group Regional Inc. | 1301 Concord Ter, Sunrise, Florida 33323 |
| Colorado Business Entities | Pediatrix Medical Group, Inc. | 1301 Concord Terrace, Sunrise, FL 33323 |
| Street Address |
2811 TIETON DR |
| City | YAKIMA |
| State | WA |
| Zip Code | 98902-3761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699763318 | Susie Ball | Genetic Counselor, MS | 2811 Tieton Dr, Genetics - Memorial, Yakima, WA 98902-3761 | 2005-10-06 |
| 1336740901 | Tyler Reed | Pharmacist | 2811 Tieton Dr, Yakima, WA 98902-3761 | 2020-11-02 |
| 1629683610 | Moro Kim | Pharmacist | 2811 Tieton Dr, Yakima, WA 98902-3761 | 2020-09-15 |
| 1467067207 | Mandi Nicole Wilcox | Registered Nurse | 2811 Tieton Dr, Yakima, WA 98902-3761 | 2020-09-09 |
| 1588278576 | Chad Schmitt | Pharmacist | 2811 Tieton Dr, Yakima, WA 98902-3761 | 2020-09-07 |
| 1306463450 | Rigoberto Zepeda | Nurse Practitioner | 2811 Tieton Dr, Yakima, WA 98902-3761 | 2020-07-05 |
| 1750906269 | Timothy Joseph Bowman | Nurse Anesthetist, Certified Registered | 2811 Tieton Dr, Yakima, WA 98902-3761 | 2020-06-10 |
| 1700416062 | Terry J Tieman | Nurse Anesthetist, Certified Registered | 2811 Tieton Dr, Yakima, WA 98902-3761 | 2020-01-24 |
| 1891343414 | Ashley Walker | Pharmacist | 2811 Tieton Dr, Yakima, WA 98902-3761 | 2019-08-27 |
| 1639725377 | Shannon Rodriguez | Pharmacist | 2811 Tieton Dr, Yakima, WA 98902-3761 | 2019-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922653203 | Laboratory Corporation of America | Clinical Medical Laboratory | 314 S 11th Ave Suite A, Yakima, WA 98902 | 2019-08-05 |
| 1669967865 | Rebecca Schrader | Speech-Language Pathologist | Children's Village 3801 Kern Road, Yakima, WA 98902 | 2018-06-29 |
| 1720572928 | Hyperbaric Centers of Washington | Preventive Medicine | 302 S. 12th Ave., Yakima, WA 98902 | 2018-06-20 |
| 1487155503 | Courtney Lombardi | Nurse Practitioner | 1515 W Yakima Ave, Yakima, WA 98902 | 2018-02-23 |
| 1003329665 | Maria-elena Mendoza | Case Manager/Care Coordinator | 918 E Mead Avenue, Yakima, WA 98902 | 2017-11-06 |
| 1679017610 | Claudia Zepeda | Massage Therapist | 3908 Creekside Loop Ste # 110, Yakima, WA 98902 | 2016-12-09 |
| 1093194425 | Silas Klaver | Podiatrist | 1607 Creekside Loop Ste 140, Yakima, WA 98902 | 2015-05-18 |
| 1821490905 | Jen Lynn Silver | Massage Therapist | 3512 Tieton Dr, Yakima, WA 98902 | 2014-09-20 |
| 1194131383 | Brenna Claire Hayes | Genetic Counselor, MS | 2903 W Walnut, Yakima, WA 98902 | 2014-07-08 |
| 1720400435 | Agnes Nadine Jeske | Speech-Language Pathologist | 621 S. 13th Ave., Mckinley Elementary School, Yakima, WA 98902 | 2014-01-15 |
| Find all providers in zip 98902 | ||||
| Taxonomy Code | 282NC2000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Children |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417209628 | Providence | General Acute Care Hospital | 101 W 8th Avenue, Providence Hospital, Spokane, WA 99204-2307 | 2012-10-11 |
| 1346548963 | Seattle Children's Hospital | General Acute Care Hospital | 526 11th Ave E, Seattle, WA 98102-5008 | 2011-03-07 |
| 1700247590 | Nawal Alkharouf | General Acute Care Hospital | 9951 Mickelberry Rd Nw Ste 101, Silverdale, WA 98383-8309 | 2016-03-08 |
| 1780926824 | Seattle Childrens Hospital | General Acute Care Hospital | 4800 Sand Point Way Ne, M/s O.a.9.120.1, Seattle, WA 98105-3901 | 2013-03-26 |
| 1194083568 | Seattle Children's | General Acute Care Hospital | 4800 Sand Point Way Ne, W-7729, Seattle, WA 98105-3901 | 2012-04-24 |
| 1063739936 | Mary Bridge Children's Hospital | General Acute Care Hospital | 317 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2010-04-30 |
| 1477876449 | Children's Hospital of Wisonsin | General Acute Care Hospital | 6601 Cascade Ave, Gig Harbor, WA 98335-1971 | 2010-03-05 |
| 1992848857 | Shriners Hospitals for Children | General Acute Care Hospital | 911 W 5th Ave, Spokane, WA 99204-2901 | 2007-02-14 |
| 1871672808 | Northwest Newborn and Pediatric Services PC | General Acute Care Hospital | 400 S 43rd St, Renton, WA 98055-5714 | 2006-11-02 |
| 1801981360 | Harry Harrison Jr. | General Acute Care Hospital | 400 S 43rd St, Renton, WA 98055-5010 | 2006-10-03 |
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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.