Palouse Pediatrics, PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PALOUSE PEDIATRICS, PLLC

Practice address

1205 SE Professional Mall Blvd
Suite 104
Pullman, WA 99163-5423

Phone

(509) 332-2605

Fax

(509) 334-5754

NPI assigned

Nov 22, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alvin Frostad, MD

Title

Owner/Physician

Phone

(509) 332-2605

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Lennis K Boyer, MD

  • Pediatrics Physician
  • Pullman, WA
  • NPI 1689657488
  NPD (past)
• Michael J Frostad, MD

  • Pediatrics Physician
  • Pullman, WA
  • NPI 1649253840
  NPD (past)
• Padma M. Ariyawansa, MD

  • Pediatrics Physician
  • Las Vegas, NV
  • NPI 1629051826
  NPD (past)

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649253758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 SE PROFESSIONAL MALL BLVD",
            "address_2": "SUITE 104",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635423",
            "telephone_number": "509-332-2605",
            "fax_number": "509-334-5754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 SE PROFESSIONAL MALL BLVD",
            "address_2": "SUITE 104",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635423",
            "telephone_number": "509-332-2605",
            "fax_number": "509-334-5754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALOUSE PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FROSTAD",
        "authorized_official_first_name": "ALVIN",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "509-332-2605",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Joseph Osterholt, MD
• Carol A Owings, RN
• Palouse ENT, LLC
• Palouse Foot & Ankle Clinic PS
• Palouse Medical PS
• Palouse Psychiatry and Behavioral Health
• Palouse Recovery Center LLC (PRC)
• Palouse Ridge Counseling
• Palouse River Counseling Center (Palouse River Counseling)
• Palouse River Counseling Center (Palouse River Counseling)

• Pediatrics Physician in Pullman, WA
• Providers in Pullman, WA by specialty
• Pediatrics Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.