Center for Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD00011392 Issued in WA

Legal business name

CENTER FOR PEDIATRICS

Practice address

8108 W Grandridge Blvd
Kennewick, WA 99336-7157

Phone

(509) 783-9540

Fax

(509) 735-5382

NPI assigned

Jun 9, 2008

Last updated

Jan 23, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Julie M. Taylor

Title

Office Manager

Phone

(509) 783-9540

Specialties & licenses 3

Addresses

Other identifiers 2

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232668800000",
    "number": "1184883647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8108 W GRANDRIDGE BLVD",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367157",
            "telephone_number": "509-783-9540",
            "fax_number": "509-735-5382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8108 W GRANDRIDGE BLVD",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367157",
            "telephone_number": "509-783-9540",
            "fax_number": "509-735-5382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2009-01-23",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "509-783-9540",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD00048486",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD00011392",
            "primary": true
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "WA",
            "license": "MD00011392",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1949908",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124999",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catalyst Natural Health
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• Center for Eft
• Center for Excellence in Dermatology, PLLC
• Center for Functional Health PLLC (Medical @ the Pacific Campus)
• Center for Pediatrics PLLC
• Center Vision & Contact Lens Clinic Inc P S (Center Vision Clinic)
• Central Tri-Cities Gastroenterology, LLC
• Aurora Cervantes
• Kevin Anthony Cervantes, BSW

• Pediatrics Physician in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Pediatrics Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.