NPIMap

Organization Active NPI

Ballard Pediatric Clinic Inc PS

  • Primary Care Clinic/Center
  • Seattle, WA
National Provider Identifier
1487876918
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
BALLARD PEDIATRIC CLINIC INC PS
Practice address
7554 15TH Ave NW
Seattle, WA 98117
Phone
(206) 783-9300
NPI assigned
May 3, 2007
Last updated
Jul 17, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2007

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

Authorized official

Name
Robert W Telzrow, MDNPI 1073511259
Title
Ceo
Phone
(206) 783-9300

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
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

7554 15TH Ave NW
Seattle, WA 98117

Mailing address

7554 15TH Ave NW
Seattle, WA 98117
Phone (206) 783-9300

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2270695Ballard Pediatric Clinic Inc PS7554 15TH Ave NW, Seattle, WA 98117Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

7554 15th Ave NW
Seattle, WA 98117
Phone (206) 783-9300

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1487876918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7554 15TH AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98117",
            "telephone_number": "206-783-9300",
            "fax_number": "206-789-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7554 15TH AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98117",
            "telephone_number": "206-783-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALLARD PEDIATRIC CLINIC INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "TELZROW",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "206-783-9300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.