Puffin Pediatrics, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

PUFFIN PEDIATRICS, PLLC

Practice address

1631 15TH Ave W Ste 103
Seattle, WA 98119-2792

Phone

(206) 752-5634

Fax

(206) 339-1815

NPI assigned

May 17, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Jared Fradkin, MD, MSNPI 1013282581

Title

Owner

Phone

(206) 752-5634

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Locations

Practitioners 2

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

• Matthew Jared Fradkin, M.D

  • Pediatrics Physician
  • Seattle, WA
  • NPI 1013282581
  NPD Authorized official
• Margarita M. Sergonis, M.D.

  • Hospitalist Physician
  • Seattle, WA
  • NPI 1790097251
  NPD

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702598400000",
    "number": "1487345757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 15TH AVE W STE 103",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981192792",
            "telephone_number": "067-525-6342",
            "fax_number": "206-339-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 15TH AVE W STE 103",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981192792",
            "telephone_number": "206-752-5634",
            "fax_number": "206-339-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUFFIN PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A",
        "authorized_official_last_name": "FRADKIN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "JARED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-752-5634",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MS"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Pucilowski
• Tanner Pudden
• Isabel Athena Pudelek
• Jeudiel R. Puente, CRNA
• Marcella Esther Puentes, CCC-SLP
• Sydney Puga, PH.D.
• Puget Express LLC
• Puget Sound Acupuncture
• Puget Sound Blood Center
• Puget Sound Christian Clinic

• Primary Care Clinic/Center in Seattle, WA
• Providers in Seattle, WA by specialty
• Primary Care Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; 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.