Northwest Pediatrics Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

NORTHWEST PEDIATRICS INC

Practice address

11 Garvey Parkway
St Charles, MD 63303-5614

Phone

(636) 441-7280

Fax

(636) 926-0560

NPI assigned

Apr 17, 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 J Hoffman, MDS RACC

Title

Secretary

Phone

(636) 441-7280

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871557744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 GARVEY PARKWAY",
            "city": "ST CHARLES",
            "state": "MD",
            "postal_code": "633035614",
            "telephone_number": "636-441-7280",
            "fax_number": "636-926-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 GARVEY PARKWAY",
            "city": "ST CHARLES",
            "state": "MD",
            "postal_code": "633035614",
            "telephone_number": "636-441-7280",
            "fax_number": "636-926-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST PEDIATRICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "636-441-7280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MDS RACC"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alana Marie Burkett, SA-C
• Twanda Chapman
• Audrey Diehl
• Jessica Khoury, MD
• Kingdom Hearts of Service
• Siyami Egbase Takha, CRNP

• Pediatrics Physician in St Charles, MD
• Providers in St Charles, MD by specialty
• Pediatrics Physician in Maryland

• 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.