Thomas W Pendergrass in Seattle - Pediatrics
Thomas W Pendergrass - NPI 1124109483
Thomas W Pendergrass is a Pediatrics in Seattle, Washington. Thomas W Pendergrass practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Thomas W Pendergrass is 1124109483. The last update date is 2018-06-18.
Thomas W Pendergrass's current location address is Po Box 5371, Seattle, Washington. You can contact this provider via phone number 2069872106 and fax number 2069875105. The mailing address for Thomas W Pendergrass is Po Box 5371, Seattle, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas W Pendergrass |
|---|---|
| Address | Po Box 5371, Seattle, Washington |
| Phone Number | 2069872106 |
| Fax Number | 2069875105 |
| Sole Proprietor | N |
| Credentials | M.D., M.S. |
NPI Number Detail
| NPI Number | 1124109483 |
|---|---|
| Provider Enumeration Date | 2006-10-17 |
| Last Updated Date | 2018-06-18 |
Provider Mailing Address Detail
| Address | Po Box 5371 |
|---|---|
| City | Seattle |
| State | Washington (WA) |
| Post Code | 981455005 |
| Phone Number | 2069872106 |
| Fax Number | 2069875105 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | MD00014612 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 826 | INTERNAL ID-MOTOR VEHICLE ID | ||
| 8362105 | WA | -- |
Post Comment/ Review Below
What is the Thomas W Pendergrass's 1124109483?
The Thomas W Pendergrass's NPI (National Provider Identifier) Number is 1124109483. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Thomas W Pendergrass?
The Thomas W Pendergrass is situated at Po Box 5371, in the city of Seattle, state of WA, with the zip code 981455005.
What is Thomas W Pendergrass's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Thomas W Pendergrass's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 208000000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1124109483 to Thomas W Pendergrass?
The Thomas W Pendergrass received its 1124109483 assignment from the Centers for Medicare & Medicaid Services on 2006-10-17.
When was the information pertaining to Thomas W Pendergrass most recently updated or revised?
The details related to Thomas W Pendergrass, including its address, specialty, and other relevant information, were last updated or revised on 2018-06-18.