Organization Active NPI

North Sound Pediatrics

  • Pediatrics Physician
  • Mill Creek, WA
National Provider Identifier
1265085682
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
NORTH SOUND PEDIATRICS
Practice address
15808 Mill Creek Blvd Ste 201
Mill Creek, WA 98012-1500
Phone
(425) 338-5668
Fax
(425) 338-4366
NPI assigned
Jul 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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

Authorized official

Name
Dr. Stephen J Shlafer, MDNPI 1629185111
Title
MD/President
Phone
(425) 338-5668

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

15808 Mill Creek Blvd Ste 201
Mill Creek, WA 98012-1500

Mailing address

15808 Mill Creek Blvd Ste 201
Mill Creek, WA 98012-1500
Phone (425) 338-5668

Other identifiers 1

IdentifierTypeStateIssuer
1106749MedicaidWA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D0966063North Sound Pediatrics15808 Mill Creek Blvd Ste 201, Mill Creek, WA 98012Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

15808 Mill Creek Blvd
Ste 201
Mill Creek, WA 98012
Phone (425) 338-5668

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563926400000",
    "number": "1265085682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15808 MILL CREEK BLVD STE 201",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980121500",
            "telephone_number": "425-338-5668",
            "fax_number": "425-338-4366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15808 MILL CREEK BLVD STE 201",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980121500",
            "telephone_number": "425-338-5668",
            "fax_number": "425-338-4366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SOUND PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-24",
        "last_updated": "2019-07-24",
        "status": "A",
        "authorized_official_last_name": "SHLAFER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MD/PRESIDENT",
        "authorized_official_telephone_number": "425-338-5668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1106749",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Creek, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.