NORTHWEST NEWBORN AND PEDIATRIC SERVICES PC (NPI# 1871672808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871672808 |
| Entity Type | Organization |
| Organization Name | NORTHWEST NEWBORN AND PEDIATRIC SERVICES PC |
| Practice Address |
400 S 43rd St Renton WA 98055-5714 |
| Mailing Address |
Po Box 430 Auburn WA 98071-0430 |
| Practice Telephone | 4256565525 |
| Practice Fax Number | 4256564228 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. LOUIS D POLLACK (PRESIDENT) |
| Authorized Official Telephone | 4256565525 |
| 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 |
Hospitals |
| Street Address |
400 S 43RD ST |
| City | RENTON |
| State | WA |
| Zip Code | 98055-5714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780681569 | Minsoo Kang | Internal Medicine | 400 S 43rd St, Renton, WA 98055 | 2005-07-07 |
| 1700490760 | Toni Anne Wolcott | Registered Nurse | 400 S 43rd St, Renton, WA 98055 | 2020-09-06 |
| 1770107484 | Richmond Li | Registered Nurse | 400 S 43rd St, Renton, WA 98055-5714 | 2020-05-29 |
| 1144840711 | Brendan Wesley-smith | Registered Nurse | 400 S 43rd St, Renton, WA 98055-5714 | 2020-04-23 |
| 1205460359 | Yingying Lu | Registered Nurse | 400 S 43rd St, Renton, WA 98055-5714 | 2020-02-27 |
| 1508404955 | Hannah Rae Humphrey | Speech-Language Pathologist | 400 S 43rd St, Renton, WA 98055-5714 | 2019-12-17 |
| 1881232247 | Jennifer Susan Katz | Physical Therapist | 400 S 43rd St, Renton, WA 98055-5714 | 2019-12-17 |
| 1760029714 | Selam Estefanos | Registered Nurse | 400 S 43rd St, Renton, WA 98055-5714 | 2019-12-09 |
| 1407493133 | Alba Sari | Registered Nurse | 400 S 43rd St, Renton, WA 98055-5714 | 2019-12-02 |
| 1336784131 | Julia Lysyuk | Nurse Anesthetist, Certified Registered | 400 S 43rd St, Renton, WA 98055-5714 | 2019-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356965750 | Proliance Surgery Center At Valley, LLC | Clinic/Center | 4009 Talbot Road S, Suite 200, Renton, WA 98055 | 2020-06-01 |
| 1851804959 | Talbot Rehabilitation Center, LLC | Skilled Nursing Facility | 4430 Talbot Road South, Renton, WA 98055 | 2017-11-10 |
| 1154878668 | Nelson Family Dentistry | Dentist | 19221 108th Ave Se Suite #2, Renton, WA 98055 | 2016-09-01 |
| 1598182990 | Annie Kyunga Ahn | Otolaryngology | 4033 Talbot Rd S Ste 540, Renton, WA 98055 | 2014-03-24 |
| 1376960138 | Madhuri Gordhan Patel | Registered Nurse | 3501 Mill Place South, Renton, WA 98055 | 2014-03-18 |
| 1912331042 | Karen Dohr | Pharmacist | 400 S. 43 Street, Renton, WA 98055 | 2013-08-26 |
| 1659637668 | Benjamin Reiss | Ophthalmology | 4300 Talbot Rd S Ste 300, Renton, WA 98055 | 2012-04-03 |
| 1205137940 | Duy Ai Quang Hoang | Pharmacist | 9431 S 196th Pl, Renton, WA 98055 | 2010-11-11 |
| 1972823664 | Erica L Ellzey | Physical Therapist | 18623 112th Ave Se, Renton, WA 98055 | 2010-06-04 |
| 1588984587 | Melissa A. Jordan | Nurse Anesthetist, Certified Registered | 4011 Talbot Rd., 5th Floor, Renton, WA 98055 | 2010-06-02 |
| Find all providers in zip 98055 | ||||
| Taxonomy Code | 282NC2000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Children |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801981360 | Harry Harrison Jr. | General Acute Care Hospital | 400 S 43rd St, Renton, WA 98055-5010 | 2006-10-03 |
| 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 |
| 1730265166 | Pediatrix Medical Group | General Acute Care Hospital | 2811 Tieton Dr, Yakima, WA 98902-3761 | 2006-10-27 |
| 1558452631 | Childrens Hospital and Regional Medical Center | General Acute Care Hospital | 4800 Sand Point Way Ne, M/s W3276, Seattle, WA 98105-3901 | 2006-09-27 |
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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.