Northwest Pediatric Heart Specialists PLLC

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

Legal business name

NORTHWEST PEDIATRIC HEART SPECIALISTS PLLC

Practice address

1901 S Cedar St Ste 103
Tacoma, WA 98405-2302

Phone

(253) 272-1812

Fax

(253) 682-1455

NPI assigned

Dec 13, 2006

Last updated

Jul 8, 2008By 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. Donald L Trippel, M.D.NPI 1083775902

Title

Managing Partner

Phone

(252) 272-1812

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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.

• Donald L Trippel, M.D.

  • Pediatric Cardiology Physician
  • Tacoma, WA
  • NPI 1083775902
  NPD (past) Authorized official
• Roberta Sue Stephenson, M.D.

  • Pediatric Cardiology Physician
  • Tacoma, WA
  • NPI 1881755726
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1730240599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5098",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984150098",
            "telephone_number": "253-272-1812",
            "fax_number": "253-682-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S CEDAR ST STE 103",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052302",
            "telephone_number": "253-272-1812",
            "fax_number": "253-682-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST PEDIATRIC HEART SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "TRIPPEL",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "252-272-1812",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7099799",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH",
            "identifier": "463414001",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Northwest Vision Care, Inc.
• Kylie Norton

• Pediatric Cardiology Physician in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Pediatric Cardiology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.