PEDIATRIX MEDICAL GROUP; NPI #1730265166

Contact Information

PEDIATRIX MEDICAL GROUP

2811 TIETON DR
YAKIMA, WA 98902-3761

Phone: 509-575-8026
Fax: 509-577-5061
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Children	282NC2000X	A0[7]	Hospital-Childrenâ€™s (PPS excluded)

Indicates primary specialty

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NPI Profile & details for PEDIATRIX MEDICAL GROUP

NPI # 1730265166

LBN Legal business name PEDIATRIX MEDICAL GROUP

Authorized official ROBERT SKARIN - (MEDICAL DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/27/2006

Last updated 08/22/2020 - About 6 years ago

Identifiers

WA	License #	AP30003108
WA	Other	815	PROVIDER NO. FOR PMG

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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