NPIMap

Organization Active NPI

Children's Hospital

  • Transplant Surgery Physician
  • Washington, DC
National Provider Identifier
1790121234
Registry record updated May 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transplant Surgery PhysicianTaxonomy code 204F00000X
Legal business name
CHILDREN'S HOSPITAL
Practice address
111 Michigan Ave NW
Washington, DC 20010-2916
Phone
(202) 476-5000
NPI assigned
May 10, 2013
Last updated
May 10, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
CHILDREN'S HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 10, 2013

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

Authorized official

Name
Susan Pfennig
Title
Sr Manager, Medical Staff Services
Phone
(202) 476-4447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Transplant Surgery Physician 204F00000X NU Primary

Addresses

Primary practice location

111 Michigan Ave NW
Washington, DC 20010-2916

Mailing address

PO Box 37212
Baltimore, MD 21297-3212
Phone (301) 572-3625

Other names 1

  • Blue Distinction Center for Transplant Other name

National Provider Directory

National Provider Directory
Tax ID family
CNMC Clinic at Coolidge HS42 organizations share this tax ID, including this one
Part of
CNMC Clinic at Coolidge HS

Other organizations with this tax ID 41

Organizations that report the same tax identification number in the National Provider Directory.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1368144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368144000000",
    "number": "1790121234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37212",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973212",
            "telephone_number": "301-572-3625",
            "fax_number": "301-572-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MICHIGAN AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102916",
            "telephone_number": "202-476-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHILDREN'S HOSPITAL",
        "enumeration_date": "2013-05-10",
        "last_updated": "2013-05-10",
        "status": "A",
        "authorized_official_last_name": "PFENNIG",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "SR MANAGER, MEDICAL STAFF SERVICES",
        "authorized_official_telephone_number": "202-476-4447"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Distinction Center for Transplant",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; 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.