Renton Pediatric Associates, PS

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

Organization subpart

Yes

Parent organization

RENTON PEDIATRIC ASSOCIATES, PSAs reported in NPPES

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

Authorized official

Name

Stuart S. Shorr, MD

Title

Physician/Owner

Phone

(425) 271-5437

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Helen C Matthews

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edward Norman Fisher, MD

  • Pediatrics Physician
  • Renton, WA
  • NPI 1477843084
  NPD (past)
• Daniel B Friedman, MD

  • Pediatrics Physician
  • Renton, WA
  • NPI 1629038823
  NPD (past)
• Nicole K Lauinger, MD

  • Pediatrics Physician
  • Renton, WA
  • NPI 1619937836
  NPD (past)
• Yass Moinpour, M.D.

  • Pediatrics Physician
  • Renton, WA
  • NPI 1316936099
  NPD (past)
• Rebecca Lynn Shwartz, M.D.

  • Pediatrics Physician
  • Renton, WA
  • NPI 1720353196
  NPD (past)
• Emily Mayzell, MSN, APRN, CPNP-PC

  • Pediatric Nurse Practitioner
  • Charleston, SC
  • NPI 1891470910
  NPD (past)

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7072390",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renton Counseling Center, PLLC
• Renton Denture Clinic LLC
• Renton Family Therapy
• Renton Foot Clinic
• Renton Healthcare Rehabilitation Center, LLC
• Renton Regional Fire Authority
• Renton School District
• Renton Smile Dentistry
• Renton Smiles, LLC
• Renton SNF Healthcare LLC

• Medical Specialty Clinic/Center in Renton, WA
• Providers in Renton, WA by specialty
• Medical Specialty Clinic/Center in Washington

• 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.