Pediatrix Medical Group

Primary specialty

Children's HospitalTaxonomy code 282NC2000X

License

AP30003108 Issued in WA

Legal business name

PEDIATRIX MEDICAL GROUP

Practice address

2811 Tieton Dr
Yakima, WA 98902-3761

Phone

(509) 575-8026

Fax

(509) 577-5061

NPI assigned

Oct 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert M Skarin, M.D.

Title

Medical Director

Phone

(509) 575-8026

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730265166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 GORE RD",
            "city": "SELAH",
            "state": "WA",
            "postal_code": "989429739",
            "telephone_number": "509-697-8726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 TIETON DR",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023761",
            "telephone_number": "509-575-8026",
            "fax_number": "509-577-5061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIX MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SKARIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "509-575-8026",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "WA",
            "license": "AP30003108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NO. FOR PMG",
            "identifier": "815",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa D Pease
• Trinton Pease
• Jessica Pechtel, ARNP
• Loretta Pechtel
• Reed Richard Pederson, LMP
• Jocelyn Pedrosa, MD
• Miguel Angel Pedroza
• Donald Michael Pehlke, MD
• Jenifer Pelkey, RN
• Mary Pellicer, M.D.

• Children's Hospital in Yakima, WA
• Providers in Yakima, WA by specialty
• Children's Hospital 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.