Organization Active NPI

Herbert Kloss, M.D. PLLC

  • Pediatric Anesthesiology Physician
  • Mercer Island, WA
National Provider Identifier
1972873842
Registry record updated Jan 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Anesthesiology PhysicianTaxonomy code 207LP3000X
Legal business name
HERBERT KLOSS, M.D. PLLC
Practice address
5057 84TH Ave SE
Mercer Island, WA 98040-4617
Phone
(253) 375-6937
NPI assigned
Jan 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2012

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

Authorized official

Name
Herbert Kloss, M.D.
Title
Owner
Phone
(253) 375-6937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP3000X Primary

Addresses

Primary practice location

5057 84TH Ave SE
Mercer Island, WA 98040-4617

Mailing address

5057 84TH Ave SE
Mercer Island, WA 98040-4617
Phone (253) 375-6937

Other identifiers 1

IdentifierTypeStateIssuer
1009631MedicaidWA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1326067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326067200000",
    "number": "1972873842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5057 84TH AVE SE",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980404617",
            "telephone_number": "253-375-6937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5057 84TH AVE SE",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980404617",
            "telephone_number": "253-375-6937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERBERT KLOSS, M.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-09",
        "last_updated": "2012-01-09",
        "status": "A",
        "authorized_official_last_name": "KLOSS",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-375-6937",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP3000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009631",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mercer Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; 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.