Union Avenue Pediatrics, PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

UNION AVENUE PEDIATRICS, PLLC

Practice address

1530 S Union Ave
Suite 8
Tacoma, WA 98405-1954

Phone

(253) 759-3333

Fax

(253) 759-1415

NPI assigned

Jul 6, 2006

Organization subpart

No

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

Authorized official

Name

Carl A Plonsky, M.D.NPI 1265407720

Title

Owner

Phone

(253) 759-3333

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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

• Carl Andrew Plonsky, M.D.

  • Pediatrics Physician
  • Tacoma, WA
  • NPI 1265407720
  NPD (past) Authorized official
• David Laverne Burkebile, MD

  • Developmental - Behavioral Pediatrics Physician
  • Renton, WA
  • NPI 1912065889
  NPD (past)
• Edward R Fahy, M.D.

  • Pediatrics Physician
  • Tacoma, WA
  • NPI 1053386128
  NPD (past)
• Monica M Van Hoomissen, PSY.D.

  • Clinical Child & Adolescent Psychologist
  • Tacoma, WA
  • NPI 1386611606
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477585073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 S UNION AVE",
            "address_2": "SUITE 8",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051954",
            "telephone_number": "253-759-3333",
            "fax_number": "253-759-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 S UNION AVE",
            "address_2": "SUITE 8",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051954",
            "telephone_number": "253-759-3333",
            "fax_number": "253-759-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION AVENUE PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PLONSKY",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-759-3333",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Todd Underwood, PHARMD
• Union Avenue Compounding Pharmacy
• Union Avenue Compounding Pharmacy
• Union Avenue Dental Center
• Union Avenue Open MRI LLC
• United Behavioral Health
• United Cerebral Palsy of South Puget Sound
• United Seating and Mobility, LLC
• United States Army
• United States Public Health Service

• Pediatrics Physician in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Pediatrics Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.