Active NPI
Henry C Reitzug, M.D.
- Pediatrics Physician
- Puyallup, WA
National Provider Identifier
1982682845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD00016547
- Practice address
- 1706 Meridian S
Suite 120
Puyallup, WA 98371-7516 - Phone
- (253) 848-8797
- Fax
- (253) 446-3239
- NPI assigned
- Jan 2, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD00016547 | WA | Primary |
Addresses
Primary practice location
1706 Meridian S
Suite 120
Puyallup, WA 98371-7516
Mailing address
1706 Meridian S
Suite 120
Puyallup, WA 98371-7516
Phone (253) 848-8797
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1553908 | Other | WA | DSHS NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00016547 | WA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1982682845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1706 MERIDIAN S",
"address_2": "SUITE 120",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983717516",
"telephone_number": "253-848-8797",
"fax_number": "253-446-3239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1706 MERIDIAN S",
"address_2": "SUITE 120",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983717516",
"telephone_number": "253-848-8797",
"fax_number": "253-446-3239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REITZUG",
"first_name": "HENRY",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-02",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WA",
"license": "MD00016547",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DSHS NUMBER",
"identifier": "1553908",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Puyallup, WA
- Denise M Reid, LICENSED MASSAGE THE
- Sarah Elizabeth-Ellen Reid, DOCTORATE OF NURSING
- Reign Center for Psychological Wellness
- Amy E Reim
- Alison Jean Reinbold, M.D.
- Relatyv Mobile Medical LLC
- Renal Care Group Northwest, Inc. (Fresenius Kidney Care Puyallup)
- Renew Aesthetics and Regenerative Medicine
- Rashaun A Renggli
- Shannon Renich
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.