PEDIATRIC ASSOCIATES, INC., P.S. DBA ALLEGRO PEDIATRICS (NPI# 1396819041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396819041 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC ASSOCIATES, INC., P.S. DBA ALLEGRO PEDIATRICS |
| Other Organization Name | TOTEM LAKE |
| Practice Address |
13030 121st Way Ne Suite #100 Kirkland WA 98034 |
| Mailing Address |
2475 140th Ave. Ne, Building C Bellevue WA 98005 |
| Practice Telephone | 4258145170 |
| Mailing Telephone | 4254605601 |
| Mailing Fax Number | 4254605606 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2020-10-09 |
| Authorized Official Name | BRETT VANDENBERG (CEO) |
| Authorized Official Telephone | 4254605643 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Totem Lake | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477626125 | Pediatric Associates, Inc., P.s. Dba Allegro Pediatrics | Pediatrics | 1011 Ne High Street, Suite #200, Issaquah, WA 98029 | 2006-11-17 |
| 1699849331 | Pediatric Associates, Inc., P.s. Dba Allegro Pediatrics | Pediatrics | 22620 Se 4th Street, Suite #200, Sammamish, WA 98074 | 2006-11-17 |
| 1477624286 | Pediatric Associates, Inc., P.s. Dba Allegro Pediatrics | Pediatrics | 2475 140th Ave. Ne. Building C, Bellevue, WA 98005 | 2006-11-13 |
| 1093888778 | Pediatric Associates, Inc., P.s. Dba Allegro Pediatrics | Pediatrics | 2700 Northup Way, Bellevue, WA 98004-1463 | 2006-11-17 |
| 1265505945 | Pediatric Associates, Inc., P.s. Dba Allegro Pediatrics | Pediatrics | 7530 164th Ave Ne, Suite A215, Redmond, WA 98052 | 2006-11-17 |
| 1396819975 | Pediatric Associates, Inc., P.s. Dba Allegro Pediatrics | Pediatrics | 22635 Market Place Drive, Suite #120, Redmond, WA 98053 | 2006-11-17 |
| Street Address |
13030 121ST WAY NE SUITE #100 |
| City | KIRKLAND |
| State | WA |
| Zip Code | 98034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801889951 | Lew C Estabrook | Chiropractor | 13030 121st Way Ne, Suite 102, Kirkland, WA 98034-7210 | 2005-08-24 |
| 1669948543 | Jacqueline Rebecca Gray | Registered Nurse | 13030 121st Way Ne, Kirkland, WA 98034-3008 | 2018-10-18 |
| 1518246628 | Jacqueline Renee Buckley | Podiatrist | 13030 121st Way Ne, #204, Kirkland, WA 98034-3008 | 2011-08-07 |
| 1346495322 | Kathryn Ponto Md Pllc | Specialist | 13030 121st Way Ne, Suite 202, Kirkland, WA 98034-3008 | 2008-11-18 |
| 1396999785 | Karen L Ilika Md Pllc | Specialist | 13030 121st Way Ne, Suite 202, Kirkland, WA 98034-3008 | 2008-11-11 |
| 1699939595 | Jervis J Belarmino | Pediatrics | 13030 121st Way Ne, Suite #100, Kirkland, WA 98034-3008 | 2008-07-10 |
| 1306015649 | Vinette Zabriskie Md Pllc | Obstetrics & Gynecology | 13030 121st Way Ne, Suite 202, Kirkland, WA 98034-3008 | 2008-02-20 |
| 1689749392 | Joyce Wu | Pediatrics | 13030 121st Way Ne, Suite #100, Kirkland, WA 98034-3008 | 2006-11-21 |
| 1588739106 | Donna Lynn Fowler | Pediatrics | 13030 121st Way Ne, Suite #100, Kirkland, WA 98034-3008 | 2006-11-21 |
| 1518031137 | Tracey Howson | Pediatrics | 13030 121st Way Ne, Suite #100, Kirkland, WA 98034-3008 | 2006-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578116596 | Rachel Bowers | Behavior Technician | 1335 Northeast 122nd Way, Suite 105, Kirkland, WA 98034 | 2019-07-18 |
| 1740841048 | Kristina Louise Inghram | Behavior Technician | 11415 Ne 128th St., Suite 40, Kirkland, WA 98034 | 2019-06-26 |
| 1053978064 | Matthew A. Bagnulo, Dds, Ps | Dentist | 11830 Ne 128th St., #202, Kirkland, WA 98034 | 2019-05-24 |
| 1629568928 | Stephanie Michalko | Optometrist | 11800 Ne 128th St Ste 110, Kirkland, WA 98034 | 2018-05-14 |
| 1952800013 | Heath Family Counseling LLC | Marriage & Family Therapist | 12025 115th Ave. Ne, Building D, Ste 200, Kirkland, WA 98034 | 2018-02-05 |
| 1891202834 | Barbara Josephine Gorham | Counselor | 2025 115th Ave Ne, Bldg D, #200, Kirkland, WA 98034 | 2017-12-29 |
| 1548782915 | Eleanor Hollis Wall | Counselor | 14340 102nd Ave Ne, Kirkland, WA 98034 | 2017-07-07 |
| 1457885212 | Peter Schoonmaker | Hospitalist | 12040 Ne 128th Street, Ms105, Kirkland, WA 98034 | 2017-04-18 |
| 1780124370 | Rebecca Managan | Advanced Practice Midwife | 12303 Ne 130th Ln Ste Coral225, Kirkland, WA 98034 | 2017-03-01 |
| 1669821104 | Winter Gonzalez | Counselor | 11720 97th Ln Ne Apt A411, Kirkland, WA 98034 | 2016-06-06 |
| Find all providers in zip 98034 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245385236 | Braden Charles Stridde | Pediatrics | 10117 Ne 58th Street, Suite 100, Kirkland, WA 98033-7450 | 2007-01-23 |
| 1740348515 | Michael Peter Kazaras | Pediatrics | 10126 Ne 132nd St, Suite A, Kirkland, WA 98034-9043 | 2006-12-05 |
| 1932209947 | Manfred Harro Eichner | Pediatrics | 12911 120th Avenue Ne, Suite F180, Kirkland, WA 98034 | 2006-09-22 |
| 1669588240 | Firoz Ibrahim | Pediatrics | 13128 Totem Lake Blvd Ne Ste 105, Kirkland, WA 98034-2953 | 2006-08-23 |
| 1164448338 | Gagan Khalsa | Pediatrics | 433 State St S, Suite 6, Kirkland, WA 98033-6615 | 2006-07-14 |
| 1225436512 | Cynthia Keller Md | Pediatrics | 12815 120th Ave Ne, Suitre A, Kirkland, WA 98034-3003 | 2014-12-18 |
| 1699939595 | Jervis J Belarmino | Pediatrics | 13030 121st Way Ne, Suite #100, Kirkland, WA 98034-3008 | 2008-07-10 |
| 1205045739 | Basma Raees | Pediatrics | 433 State St, Kirkland, WA 98033-6615 | 2007-05-22 |
| 1689749392 | Joyce Wu | Pediatrics | 13030 121st Way Ne, Suite #100, Kirkland, WA 98034-3008 | 2006-11-21 |
| 1588739106 | Donna Lynn Fowler | Pediatrics | 13030 121st Way Ne, Suite #100, Kirkland, WA 98034-3008 | 2006-11-21 |
| Find all providers in KIRKLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.