Parkview Pediatrics Inc

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

7590771 Issued in WA

Legal business name

PARKVIEW PEDIATRICS INC

Practice address

615 S Division St
Moses Lake, WA 98837-3800

Phone

(509) 766-9450

Fax

(509) 766-1954

NPI assigned

Jul 25, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jill A Dudik Bross, MD

Title

President

Phone

(509) 766-9450

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Parkview Pediatrics Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Parkview Pediatrics Inc

  • Non-Surgical Family Planning Clinic/Center
  • Moses Lake, WA
  • NPI 1497824726
  NPD tax ID
• Parkview Pediatrics Inc

  • Health Maintenance Organization
  • Moses Lake, WA
  • NPI 1780809244
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254268800000",
    "number": "1063435998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 S DIVISION ST",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988373800",
            "telephone_number": "509-766-9450",
            "fax_number": "509-766-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 S DIVISION ST",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988373800",
            "telephone_number": "509-766-9450",
            "fax_number": "509-766-1954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKVIEW PEDIATRICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2009-09-30",
        "status": "A",
        "authorized_official_last_name": "BROSS",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "A DUDIK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-766-9450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "WA",
            "license": "7590771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7590771",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Curtis Papenfuss, MD
• Chad Parker, PHARMD
• Denise Mary Parker, FNP
• Parkview Medical Group Inc
• Parkview Medical Group Inc
• Parkview Pediatrics Inc
• Parkview Pediatrics Inc
• Parkview Pediatrics Inc
• Pranav Upendra Patel, M.D.
• Patrick J. Hickman D.C.P.S.

• Rural Health Clinic/Center in Moses Lake, WA
• Providers in Moses Lake, WA by specialty
• Rural Health Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.