Providence Physician Group in Everett - Pediatrics

Providence Physician Group - NPI 1972686848

Providence Physician Group is a Pediatrics in Everett, Washington. Providence Physician Group practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Providence Physician Group is 1972686848. The last update date is 2010-03-11.

Providence Physician Group's current location address is 909 N Broadway, Everett, Washington. You can contact this provider via phone number 4253170246 and fax number 4253170291. The mailing address for Providence Physician Group is 909 N Broadway, Everett, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Organization Providence Physician Group
Address 909 N Broadway, Everett, Washington
Phone Number 4253170246
Fax Number 4253170291
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRO FEE CR
Authorized Official Name Schumacher Barbara
Telephone Number 3607947994

NPI Number Detail

NPI Number 1972686848
Provider Enumeration Date 2006-10-23
Last Updated Date 2010-03-11

Provider Mailing Address Detail

Address 909 N Broadway
City Everett
State Washington (WA)
Post Code 982011409
Phone Number 4253170246
Fax Number 4253170291

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Definition:
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7096183 WA --

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FAQs about Providence Physician Group

What is the unique 10-digit identifier code assigned to Providence Physician Group by the Centers for Medicare & Medicaid Services?

The Providence Physician Group has been issued the NPI (National Provider Identifier) 1972686848 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Providence Physician Group's physical address?

The Providence Physician Group is physically located at 909 N Broadway, in the city of Everett, WA, with the postal code 982011409.

What is Providence Physician Group's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Providence Physician Group is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 208000000X.

On what date did the Providence Physician Group receive its 1972686848 assignment from the Centers for Medicare & Medicaid Services?

The Providence Physician Group was assigned its 1972686848 by the Centers for Medicare & Medicaid Services on 2006-10-23.

When was the information regarding Providence Physician Group most recently updated?

The details pertaining to the Providence Physician Group, including its address, specialty, and other relevant information, were last refreshed on 2010-03-11.

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