NPIMap

Organization Active NPI

Public Hospital District #1 of King County

Doing business as VMC Peds at NewCastle

  • Pediatric Adolescent Medicine Physician
  • Newcastle, WA
National Provider Identifier
1629025333
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
Legal business name
PUBLIC HOSPITAL DISTRICT #1 OF KING COUNTY
Doing business as
VMC Peds at NewCastle
Practice address
6920 Coal Creek Pkwy SE
Ste 12
Newcastle, WA 98059-3147
Phone
(425) 656-4095
NPI assigned
May 28, 2006
Last updated
Jan 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

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

Authorized official

Name
Melissa Farley, CPC
Title
Technical Coordinator
Phone
(425) 917-6282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X NU Primary

Addresses

Primary practice location

6920 Coal Creek Pkwy SE
Ste 12
Newcastle, WA 98059-3147

Mailing address

3600 Lind Ave SW
Suite 100
Renton, WA 98055-4934
Phone (425) 656-5412

Other identifiers 1

IdentifierTypeStateIssuer
7071012MedicaidWA

Other names 1

  • VMC Peds at NewCastle Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Valley Behavioral Healt13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

6920 Coal Creek Pkwy SE
Ste 12
Newcastle, WA 98059
Phone (425) 656-4095

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1629025333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 LIND AVE SW",
            "address_2": "SUITE 100",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980554934",
            "telephone_number": "425-656-5412",
            "fax_number": "425-656-5423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6920 COAL CREEK PKWY SE",
            "address_2": "STE 12",
            "city": "NEWCASTLE",
            "state": "WA",
            "postal_code": "980593147",
            "telephone_number": "425-656-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUBLIC HOSPITAL DISTRICT #1 OF KING COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "FARLEY",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "TECHNICAL COORDINATOR",
        "authorized_official_telephone_number": "425-917-6282",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7071012",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VMC Peds at NewCastle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newcastle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; 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.