NPIMap

Organization Active NPI

Parkview Pediatrics Inc

  • Non-Surgical Family Planning Clinic/Center
  • Moses Lake, WA
National Provider Identifier
1497824726
Registry record updated Sep 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Surgical Family Planning Clinic/CenterTaxonomy code 261QF0050X
License
7900988 Issued in WA
Legal business name
PARKVIEW PEDIATRICS INC
Practice address
615 S Division St
Moses Lake, WA 98837-3800
Phone
(509) 766-9450
Fax
(509) 764-9407
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2009

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

Authorized official

Name
Dr. Jill Ann Dudik Bross, MD
Title
President
Phone
(509) 766-9450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Surgical Family Planning Clinic/Center 261QF0050X 7900988 WA Primary

Addresses

Primary practice location

615 S Division St
Moses Lake, WA 98837-3800

Mailing address

615 S Division St
Moses Lake, WA 98837-3800
Phone (509) 766-9450

Other identifiers 1

IdentifierTypeStateIssuer
7900988MedicaidWA

Other names 1

  • Parkview Pediatrics and Family Medicine Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Parkview Pediatrics Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254268800000",
    "number": "1497824726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 S DIVISION ST",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988373800",
            "telephone_number": "509-766-9450",
            "fax_number": "509-764-9407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 S DIVISION ST",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988373800",
            "telephone_number": "509-766-9450",
            "fax_number": "509-764-9407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKVIEW PEDIATRICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2009-09-30",
        "status": "A",
        "authorized_official_last_name": "DUDIK BROSS",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-766-9450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": "WA",
            "license": "7900988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7900988",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkview Pediatrics and Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moses Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; 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.