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RENTON PEDIATRIC ASSOCIATES, PS
NPI 1225199474
Clinic/Center - Medical Specialty in Renton, WA

Active since December 12, 2006CLIA 50D0630894 · Waiver
4033 TALBOT RD S, SUITE 200, RENTON, WA 98055(425) 271-5437 Get Directions Write a Review

NPPES record last updated: August 2, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Renton Pediatric Associates, Ps NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RENTON PEDIATRIC ASSOCIATES, PS (NPI 1225199474) is a healthcare organization registered as a medical specialty in Renton, Washington and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Stuart S. Shorr, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1225199474
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameRENTON PEDIATRIC ASSOCIATES, PS
Location Address4033 TALBOT RD S, SUITE 200Renton, WA 98055-5772
Mailing Address4033 Talbot Rd S, Suite 200Renton, WA 98055 · (425) 271-5437 · Fax (425) 656-4212
Phone(425) 271-5437
Organization SubpartYes
Authorized OfficialStuart S. ShorrPhysician/owner · (425) 271-5437
Enumeration DateDecember 12, 2006
Last NPPES UpdateAugust 2, 2011
✔ NPI 1225199474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
4033 TALBOT RD S, Renton, WA 98055
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Other Identifiers 1

Medicaid7072390WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D0630894

Renton Pediatrics Associates · Renton, WA
Active · expires Apr 4, 2028
CLIA Number50D0630894
Laboratory TypePhysician Office
Certificate Effective DateFebruary 13, 2025
Certificate Expiration DateApril 4, 2028
Laboratory DirectorDaniel Friedman
Laboratory Phone(425) 271-5437
Laboratory LocationRenton Pediatrics Associates1412 SW 43rd St Ste 315, Renton, WA 98057
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ALLISON J WARMINGTON PAC
Physician Assistant (Surgical)
4033 TALBOT RD S, SUITE 530
RENTON, WA 98055
King County (425) 228-6076
DR. SAMUEL GYAWU-AMOATENG PHARM.D
Pharmacist
4033 TALBOT RD S
RENTON, WA 98055
King County (425) 690-3533
DR. FRANK P RUDEY DDS, MS
Dentist (Orthodontics and Dentofacial Orthopedics)
4033 TALBOT RD S
RENTON, WA 98055
King County (425) 430-1320
DR. PETER A BALOUSEK MD
Neurological Surgery
4033 TALBOT RD S, STE 520
RENTON, WA 98055
King County (425) 690-3586
NURSE MIDWIVES@ VMC
Advanced Practice Midwife
4033 TALBOT RD S, STE 440
RENTON, WA 98055
King County (425) 656-5321
WINNIE WU PHARMD
Pharmacist
4033 TALBOT RD S
RENTON, WA 98055
King County (425) 690-3533
VALLEY VASCULAR SURGERY
General Acute Care Hospital
4033 TALBOT RD S, SUITE 530
RENTON, WA 98055
King County (425) 656-5568
GRACE B. GAMPONIA MD
Family Medicine (Adult Medicine)
4033 TALBOT RD S, SUITE 570
RENTON, WA 98055
King County (425) 656-5400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Renton Pediatric Associates, Ps's NPI number?

The NPI number for Renton Pediatric Associates, Ps is 1225199474. It was assigned to this organization in the NPPES registry on December 12, 2006.

Where is Renton Pediatric Associates, Ps located?

Renton Pediatric Associates, Ps is located at 4033 Talbot Rd S Suite 200, Renton, WA 98055. The listed phone number is (425) 271-5437.

What is Renton Pediatric Associates, Ps's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Does Renton Pediatric Associates, Ps hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D0630894) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Renton Pediatric Associates, Ps accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Renton Pediatric Associates, Ps as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Renton Pediatric Associates, Ps was last updated on August 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.