Pediatric Neurology Associates PS

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

License

MD00041064 Issued in WA

Legal business name

PEDIATRIC NEUROLOGY ASSOCIATES PS

Practice address

2201 S 19TH St
Suite 205
Tacoma, WA 98405-2962

Phone

(253) 274-5616

Fax

(253) 274-5634

NPI assigned

Feb 15, 2007

Organization subpart

No

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

Authorized official

Name

Swati D Vora, MDNPI 1215920889

Title

Owner

Phone

(253) 274-5616

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Swati Devendra Vora, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • Tacoma, WA
  • NPI 1215920889
  NPD (past) Authorized official

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304899200000",
    "number": "1255474599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65425",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984641425",
            "telephone_number": "253-274-5616",
            "fax_number": "253-274-5634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 S 19TH ST",
            "address_2": "SUITE 205",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052962",
            "telephone_number": "253-274-5616",
            "fax_number": "253-274-5634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC NEUROLOGY ASSOCIATES PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2011-05-09",
        "status": "A",
        "authorized_official_last_name": "VORA",
        "authorized_official_first_name": "SWATI",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-274-5616",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "WA",
            "license": "MD00041064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Pederson, DO
• Sarah Anne Pederson
• Stephanie Lynn Pederson, LMP
• John Patrick Pedey-Braswell, PHARMD, BCPP, BCPS
• Pediatric Dental Care Center
• Pediatrics Northwest PS
• Pediatrix Cardiology of Washington, P.C.
• Molly Marie Pedraza
• Melissa Anne Pedrozo, EAMP, LAC
• Cecilia Fayth Peebles

• Neurology with Special Qualifications in Child Neurology Physician in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Neurology with Special Qualifications in Child Neurology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.