Keblawi Pediatrics, PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

KEBLAWI PEDIATRICS, PLLC

Practice address

731 N Stanley St
Medical Lake, WA 99022-8940

Phone

(509) 869-4929

NPI assigned

Feb 24, 2021

Last updated

Feb 25, 2021By 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

Dr. Samir Said Keblawi, MD

Title

Pediatrician

Phone

(509) 869-4929

Specialties & licenses 1

Addresses

Other names 1

• keblawi pediatrics, pllc Former legal business name

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614211200000",
    "number": "1659965333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15405 N ADDISON CT",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992088716",
            "telephone_number": "509-869-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 N STANLEY ST",
            "city": "MEDICAL LAKE",
            "state": "WA",
            "postal_code": "990228940",
            "telephone_number": "509-869-4929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEBLAWI PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-24",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A",
        "authorized_official_last_name": "KEBLAWI",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_middle_name": "SAID",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "509-869-4929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "keblawi pediatrics, pllc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Serban I Ionescu, MD
• Ja Medical Center PS
• Jeremiah Johnson, BSN
• Sage Nicole Johnson
• Angela Louise Jones, LMP
• Sabrina Arnott Keckalo, PA-C
• Emma D Keller
• Marlena Lee Kennedy
• Robert Charles Kittams, RPH.
• Christin Jean Knechtges, MA, CCC-SLP

• Pediatrics Physician in Medical Lake, WA
• Providers in Medical Lake, WA by specialty
• Pediatrics Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.