Pediatric Emergency Care Providers PLLC

Primary specialty

Pediatric Emergency Medicine (Emergency Medicine) PhysicianTaxonomy code 207PP0204X

Legal business name

PEDIATRIC EMERGENCY CARE PROVIDERS PLLC

Practice address

1055 Golf Club Road Southeast
Lacey, WA 98503

Phone

(253) 403-8327

NPI assigned

Jul 24, 2023

Organization subpart

No

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

Authorized official

Name

Wende Younger

Title

Cfo

Phone

(719) 651-9443

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1356021398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5215",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984150215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 GOLF CLUB ROAD SOUTHEAST",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "98503",
            "telephone_number": "253-403-8327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 Martin Luther King Jr Way",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984054234",
            "country_code": "US",
            "telephone_number": "253-403-8327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEDIATRIC EMERGENCY CARE PROVIDERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "YOUNGER",
        "authorized_official_first_name": "WENDE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "719-651-9443"
    },
    "taxonomies": [
        {
            "code": "207PP0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://wecphealth.org",
            "affiliation": "Y",
            "endpointDescription": "Parent Company Website",
            "affiliationName": "Tacoma Emergency Care Physicians, PLLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "315 Martin Luther King Jr Way",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984054234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Pediatric Emergency Medicine (Emergency Medicine) Physician in Lacey, WA
• Providers in Lacey, WA by specialty
• Pediatric Emergency Medicine (Emergency Medicine) Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.