Providence Physician Group in Everett - Pediatrics
Providence Physician Group - NPI 1528141496
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 1528141496. 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 | 4253165160 |
NPI Number Detail
| NPI Number | 1528141496 |
|---|---|
| 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7095318 | WA | -- |
Post Comment/ Review Below
What is the Providence Physician Group's area of specialization and corresponding taxonomy classification?
The Providence Physician Group's specialty field is Pediatrics, and it falls under the taxonomy code 208000000X, which categorizes healthcare providers based on their specialties.
When did the Providence Physician Group receive its 1528141496?
The Providence Physician Group was issued its 1528141496 on 2006-10-23, which is the date when the organization was assigned this unique identifier.
On what date did the Providence Physician Group receive its 1528141496 assignment from the Centers for Medicare & Medicaid Services?
The Providence Physician Group was assigned its 1528141496 by the Centers for Medicare & Medicaid Services on 2006-10-23.
As of what date were the Providence Physician Group's details last updated?
The information pertaining to the Providence Physician Group, including its address, specialty, and other details, was most recently updated on 2010-03-11.
As of what date were the details related to Providence Physician Group most recently updated or revised?
The information pertaining to Providence Physician Group, including its address, specialty, and other relevant details, was last updated or revised on 2010-03-11.