Northwest Pediatric Otolaryngology Group

Primary specialty

Pediatric Otolaryngology PhysicianTaxonomy code 207YP0228X

License

MD00039276 Issued in WA

Legal business name

NORTHWEST PEDIATRIC OTOLARYNGOLOGY GROUP

Practice address

6850 35TH Ave NE
Suite 4
Seattle, WA 98115-7344

Phone

(206) 525-0903

Fax

(866) 497-3901

NPI assigned

Jul 9, 2006

Organization subpart

No

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

Authorized official

Name

Anifat O Balogun, MDNPI 1427046473

Title

Owner

Phone

(206) 525-0903

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anifat O. Balogun, MD

  • Otolaryngology Physician
  • Seattle, WA
  • NPI 1427046473
  NPD (past) Authorized official

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347235200000",
    "number": "1689607855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6850 35TH AVE NE",
            "address_2": "STE 4",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981157344",
            "telephone_number": "206-525-0903",
            "fax_number": "866-497-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 35TH AVE NE",
            "address_2": "SUITE 4",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981157344",
            "telephone_number": "206-525-0903",
            "fax_number": "866-497-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST PEDIATRIC OTOLARYNGOLOGY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2012-09-10",
        "status": "A",
        "authorized_official_last_name": "BALOGUN",
        "authorized_official_first_name": "ANIFAT",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-525-0903",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YP0228X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "WA",
            "license": "MD00039276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Otolaryngology Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Pediatric Otolaryngology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; 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.