Providence Physician Group in Everett - Pediatrics
Providence Physician Group - NPI 1225119050
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 1225119050. 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 | 4252587050 |
NPI Number Detail
| NPI Number | 1225119050 |
|---|---|
| Provider Enumeration Date | 2006-10-18 |
| 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7095300 | WA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Providence Physician Group by the Centers for Medicare & Medicaid Services?
The Providence Physician Group has been assigned the NPI (National Provider Identifier) 1225119050 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Providence Physician Group?
The Providence Physician Group is physically situated at 909 N Broadway, in the city of Everett, state of WA, with the postal code 982011409.
What is the Providence Physician Group's specialty and taxonomy code?
The Providence Physician Group's specialty is Pediatrics, and the corresponding taxonomy code is 208000000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1225119050 to Providence Physician Group?
The Centers for Medicare & Medicaid Services originally issued the 1225119050 to Providence Physician Group on 2006-10-18.
When was the information regarding Providence Physician Group, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Providence Physician Group, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-03-11.