Toby B Bond, MD

Individual provider Active NPI Pediatrics Physician · Moses Lake, WA

NPI 1407974116 · NPPES record last updated Jun 9, 2022

Key facts

NPI
1407974116
Entity type
Individual (NPI type 1)
Primary specialty
Pediatrics Physician 208000000X
License
MD00047715 (WA)
Practice address
840 E Hill Ave
Moses Lake, WA 98837-2238
Phone
(509) 765-0216
NPI assigned
Mar 27, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20070518000137 WA Practitioner - Pediatric Medicine 3173620622 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00047715WAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wenatchee Valley Hospital Current
since Jul 21, 2013
Accepting new patients
Central Washington Health Services Association Current
since Jun 1, 2022
Accepting new patients
Central Washington Health Services Association Current Accepting new patients
Wenatchee Valley Hospital Current Accepting new patients
Ozark Tri-County Health Care Consortium Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Grant County Public Hospital District 1 Past Accepting new patients

Locations

840 E Hill Ave
Moses Lake, WA 98837
Phone (509) 764-6400

17 S Western Ave
Tonasket, WA 98855
Phone (509) 486-2174

820 N Chelan Ave
Wenatchee, WA 98801
Phone (509) 863-4868

933 Red Apple Rd
Wenatchee, WA 98801
Phone (509) 655-6125

1201 S Miller St
Wenatchee, WA 98801
Phone (509) 662-2208

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD00047715 WA Yes

Addresses

Primary practice location

840 E Hill Ave
Moses Lake, WA 98837-2238

Mailing address

820 N Chelan Ave
Wenatchee, WA 98801-2028

Other identifiers

IdentifierTypeStateIssuer
8476814MedicaidWA
314834OtherWAL&I POST 7/21/13
219157OtherWAL&I
8944038OtherWACRIME VICTIMS

Electronic endpoints

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0764.epichosted.com/FHIRProxy/api/FHIR/R4/
Direct Messaging Address tbond2584@edirect.chehr.org

Other providers in Moses Lake, WA

All providers in Moses Lake, WA · Pediatrics Physician in Washington

Sources for this page

Verify at the official NPI Registry.