THE IDA KARLIN PEDIATRIC CENTER - NPI 1366657918

Q: What is The Ida Karlin Pediatric Center's NPI number?

The NPI number for The Ida Karlin Pediatric Center is 1366657918. It was assigned to this organization in the NPPES registry on May 14, 2007.

Q: What is The Ida Karlin Pediatric Center's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

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About The Ida Karlin Pediatric Center NPPES

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

THE IDA KARLIN PEDIATRIC CENTER (NPI 1366657918) is a healthcare organization registered as a pediatrics in Puyallup, Washington and active in the NPI registry since May 2007. The organization lists Ovidio Penalver, Corporate Officer, Provider, as its authorized official.

NPPES Registry Identity

NPI1366657918

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameTHE IDA KARLIN PEDIATRIC CENTER

Location Address319 5TH ST SWPuyallup, WA 98371-5828

Mailing Address319 5th St SwPuyallup, WA 98371-5828 · (253) 848-0351

Phone(253) 848-0351

Fax(253) 841-1397

Organization SubpartNo

Authorized OfficialOvidio PenalverCorporate Officer, Provider · (253) 848-0351

Enumeration DateMay 14, 2007

Last NPPES UpdateDecember 23, 2015

✔ NPI 1366657918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in WA · MD00015660

Definition

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.

Also ListedCounselorTaxonomy 101Y00000X · License LH60394287 (WA)

Also ListedPsychologistTaxonomy 103T00000X · License PY60385056 (WA)

Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License AP60312846 (WA)

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License AP60311598 (WA)

319 5TH ST SW, Puyallup, WA 98371

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Other Identifiers 1

Medicaid7110653WA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

KAREN BOUDOUR ARNP

Nurse Practitioner (Pediatrics)