NPIMap

Organization Active NPI

Panda Pediatrics PLC

  • Pediatrics Physician
  • Washington, DC
National Provider Identifier
1477036127
Registry record updated Sep 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD15758 Issued in DC
Legal business name
PANDA PEDIATRICS PLC
Practice address
2440 M St NW Ste 422
Washington, DC 20037-1422
Phone
(703) 585-0304
NPI assigned
Sep 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2018

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

Authorized official

Name
Amy B. Pullman, MDNPI 1851305957
Title
Owner
Phone
(703) 585-0304

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 MD15758 DC Primary

Addresses

Primary practice location

2440 M St NW Ste 422
Washington, DC 20037-1422

Mailing address

2440 M Street NW, Suite 422
Street Line 2
Washington, DC 20037
Phone (703) 585-0304

National Provider Directory

National Provider Directory

Locations

2440 M St NW
Ste 422
Washington, DC 20037

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": "1536537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536537600000",
    "number": "1477036127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 M STREET NW, SUITE 422",
            "address_2": "STREET LINE 2",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20037",
            "telephone_number": "703-585-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 M ST NW STE 422",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200371422",
            "telephone_number": "703-585-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANDA PEDIATRICS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-10",
        "last_updated": "2018-09-10",
        "status": "A",
        "authorized_official_last_name": "PULLMAN",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-585-0304",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "DC",
            "license": "MD15758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; 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.