PEDIATRIC CLINIC (NPI# 1952561805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952561805 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC CLINIC |
| Practice Address |
32124 1st Ave S Ste 100 Federal Way WA 98003-5761 |
| Mailing Address |
32124 1st Avenue S Ste 100 Federal Way WA 98003 |
| Practice Telephone | 2536615939 |
| Practice Fax Number | 2536615929 |
| Mailing Telephone | 2536615939 |
| Mailing Fax Number | 2536615929 |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2008-06-13 |
| Authorized Official Name | DR. MOHINDER SINGH BADYAL (PHYSICIAN) |
| Authorized Official Telephone | 2536615939 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | MD00031337 | WA | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7056443 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649522616 | Pediatric Clinic | Pediatrics | 3604 Cumberland Ave, Middlesboro, KY 40965-2614 | 2012-10-15 |
| 1497880181 | Pediatric Clinic | Pediatrics | 12351 Industriplex Blvd, Baton Rouge, LA 70809-5125 | 2007-02-22 |
| Street Address |
32124 1ST AVE S STE 100 |
| City | FEDERAL WAY |
| State | WA |
| Zip Code | 98003-5761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699233080 | Pediatric Specialty Practices, Pllc | Pediatrics | 32124 1st Ave S Ste 100, Federal Way, WA 98003-5761 | 2019-03-05 |
| 1588099162 | Mohinder Singh Badyal Md | Pediatrics | 32124 1st Ave S Ste 100, Federal Way, WA 98003-5761 | 2013-09-13 |
| 1932362530 | Nauman Ahmad | Pediatrics | 32124 1st Ave S Ste 100, Federal Way, WA 98003-5761 | 2008-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634969 | Jossie Jeniffer Wong-vicuna | Interpreter | 3001 S 288th Street, 201, Ferderal Way, WA 98003 | 2020-09-17 |
| 1336642420 | Otto Family | Massage Therapist | 720 S 348th St Ste A-1b, Federal Way, WA 98003 | 2018-03-14 |
| 1962912709 | Lindsay Plumley | Occupational Therapist | 33330 8th Avenue S, Federal Way, WA 98003 | 2017-10-06 |
| 1861922387 | Sea Mar Community Health Centers | Pharmacy | 31405 18th Ave South, Federal Way, WA 98003 | 2017-06-18 |
| 1023547072 | Iora Health Washington Physicians, P.C. | Internal Medicine | 1414 S. 324th Street, Federal Way, WA 98003 | 2017-06-05 |
| 1811346869 | Iora Senior Health Inc | Internal Medicine | 1414 S 324th St, Federal Way, WA 98003 | 2016-06-10 |
| 1972958940 | Kathy Marie Haviland | Registered Nurse | 1010 S. 336th St, Supplemental Health Care, Federal Way, WA 98003 | 2016-04-27 |
| 1972969343 | Jacklyn Marie James | Specialist | 530 South 336th Street, Ste C, Massage for Health and Day Spa, Inc., Federal Way, WA 98003 | 2016-01-14 |
| 1659767036 | Jillian Liner | Pediatrics | 34503 9th Ave S Ste 220, Federal Way, WA 98003 | 2015-04-12 |
| 1235537739 | Simranjit Singh Longia | Student in an Organized Health Care Education/Training Program | 34618 11th Ave. S., Suite 100, Federal Way, WA 98003 | 2014-12-15 |
| Find all providers in zip 98003 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184002081 | Melinda Kay Morrison | Point of Service | 3310 Sw 327th Pl, Federal Way, WA 98023-2759 | 2015-05-12 |
| 1093104572 | For Hope - Dory Bronger, Licsw, Pllc | Point of Service | 33507 9th Ave S, Ste. C-2, Federal Way, WA 98003-6397 | 2015-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181232 | Tonn Physio Pllc | Point of Service | 307 S 1st St Ste B103, Mount Vernon, WA 98273-3856 | 2020-10-15 |
| 1871052696 | Pharmacare Services LLC | Point of Service | 17657 State Route 231 N, Edwall, WA 99008-9504 | 2019-03-19 |
| 1053861518 | Prestige Phlebotomy | Point of Service | 17630 30th Avenue Ct E, Tacoma, WA 98446-1113 | 2016-10-09 |
| 1205383205 | Janette Carroll, Dds, Pllc | Point of Service | 2210 Kulshan View Dr Ste 101, Mount Vernon, WA 98273-2779 | 2016-09-07 |
| 1316491244 | Gregory B Mortensen Dds | Point of Service | 14645 Bel Red Rd Ste 100, Bellevue, WA 98007-3929 | 2016-08-09 |
| 1336599513 | Kings Royal Care | Point of Service | 8141 Lopez Dr, Clinton, WA 98236-9236 | 2016-06-17 |
| 1568834703 | Internal Acceptance, Pllc | Point of Service | 60 Nw Boistfort St, Chehalis, WA 98532-2003 | 2015-10-28 |
| 1235517236 | Lora's Massage & Aromatherapy Services | Point of Service | 12211 Edgewood Ave Sw, Apt.# 12, Lakewood, WA 98498-1201 | 2015-05-11 |
| 1649657750 | Alicia Koch-johnson | Point of Service | 14826 42nd Ave S, Tukwila, WA 98168-4436 | 2015-04-28 |
| 1861885527 | K's Optical LLC | Point of Service | 23020 Edmonds Way Unit 114, Edmonds, WA 98020-5066 | 2015-03-05 |
| Find all providers with the same taxonomy | ||||
| City | FEDERAL WAY |
| Zip Code | 98003 |
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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.