Organization Active NPI

Woodinville Pediatrics

  • Home Health Agency
  • Woodinville, WA
National Provider Identifier
1932554854
Registry record updated Apr 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
20890 Issued in WA
Legal business name
WOODINVILLE PEDIATRICS
Practice address
17000 140TH Ave NE
Woodinville, WA 98072-6928
Phone
(425) 483-5437
NPI assigned
Apr 28, 2016
Last updated
Apr 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2016

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

Authorized official

Name
Mitchell Weinberg, M.D.NPI 1528144516
Title
Physician
Phone
(425) 483-5437

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 20890 WA Primary

Addresses

Primary practice location

17000 140TH Ave NE
Woodinville, WA 98072-6928

Mailing address

17000 140TH Ave NE
Woodinville, WA 98072-6928
Phone (425) 483-5437

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D0631033Woodinville Pediatrics, PLLC17000 140TH Ave NE Unit 102, Woodinville, WA 98072Provider-performed microscopyApr 4, 2028

National Provider Directory

National Provider Directory
Tax ID family
Woodinville Pediatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

17000 140th Ave NE
Woodinville, WA 98072
Phone (425) 483-5437

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461801600000",
    "number": "1932554854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 140TH AVE NE",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980726928",
            "telephone_number": "425-483-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17000 140TH AVE NE",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980726928",
            "telephone_number": "425-483-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODINVILLE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-28",
        "last_updated": "2016-04-28",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "425-483-5437",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WA",
            "license": "20890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodinville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.