Ellensburg Pediatrics PLLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

ELLENSBURG PEDIATRICS PLLC

Practice address

611 S Chestnut St
Suite E
Ellensburg, WA 98926-4815

Phone

(509) 962-5437

Fax

(509) 962-5438

NPI assigned

Jun 25, 2006

Organization subpart

No

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

Authorized official

Name

Elise J Herman, M.D.

Title

Owner/Provider

Phone

(509) 962-5437

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405382400000",
    "number": "1639105992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 S CHESTNUT ST",
            "address_2": "SUITE E",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989264815",
            "telephone_number": "509-962-5437",
            "fax_number": "509-962-5438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 S CHESTNUT ST",
            "address_2": "SUITE E",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989264815",
            "telephone_number": "509-962-5437",
            "fax_number": "509-962-5438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLENSBURG PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2014-07-15",
        "status": "A",
        "authorized_official_last_name": "HERMAN",
        "authorized_official_first_name": "ELISE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "509-962-5437",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellensburg Counseling Services PLLC
• Ellensburg Downtown Pharmacy Inc
• Ellensburg Eye and Contact Lens Clinic
• Ellensburg Family Medicine
• Ellensburg Integrative Medicine PLLC
• Ellensburg Physical Therapy Center Inc
• Ellensburg School District
• Ellensburg Sport and Spine, LLC
• Ellensburg Ventures, L.L.C.
• Ellensburg Vision Clinic, PS, Inc

• Rural Health Clinic/Center in Ellensburg, WA
• Providers in Ellensburg, WA by specialty
• Rural Health Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; 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.