NPIMap

Organization Active NPI

Renton Pediatric Associates, PS

  • Medical Specialty Clinic/Center
  • Renton, WA
National Provider Identifier
1225199474
Registry record updated Aug 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
RENTON PEDIATRIC ASSOCIATES, PS
Practice address
4033 Talbot Rd S
Suite 200
Renton, WA 98055-5772
Phone
(425) 271-5437
NPI assigned
Dec 12, 2006
Last updated
Aug 2, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
RENTON PEDIATRIC ASSOCIATES, PSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 2, 2011

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

Authorized official

Name
Stuart S. Shorr, MDNPI 1669432845
Title
Physician/Owner
Phone
(425) 271-5437

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

4033 Talbot Rd S
Suite 200
Renton, WA 98055-5772

Mailing address

4033 Talbot Rd S
Suite 200
Renton, WA 98055
Phone (425) 271-5437

National Provider Directory

National Provider Directory
Part of
Tenton Pediatrics Inc

Locations

24837 104th Ave SE
Ste 102
Kent, WA 98030
Phone (235) 859-8371

4033 Talbot Rd S
Ste 200
Renton, WA 98055
Phone (425) 271-5437

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312243200000",
    "number": "1225199474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4033 TALBOT RD S",
            "address_2": "SUITE 200",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "98055",
            "telephone_number": "425-271-5437",
            "fax_number": "425-656-4212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4033 TALBOT RD S",
            "address_2": "SUITE 200",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555772",
            "telephone_number": "425-271-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENTON PEDIATRIC ASSOCIATES, PS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RENTON PEDIATRIC ASSOCIATES, PS",
        "enumeration_date": "2006-12-12",
        "last_updated": "2011-08-02",
        "status": "A",
        "authorized_official_last_name": "SHORR",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "425-271-5437",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; 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.