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PUYALLUP VALLEY PEDIATRIC ASSOCIATES, P.S.
NPI 1497962831
Pediatrics - Adolescent Medicine in Puyallup, WA

Active since May 16, 2007
1322 3RD ST SE, SUITE #240, PUYALLUP, WA 98372(253) 848-1572(253) 841-3719 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Puyallup Valley Pediatric Associates, P.s. NPPES

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

PUYALLUP VALLEY PEDIATRIC ASSOCIATES, P.S. (NPI 1497962831) is a healthcare organization registered as an adolescent medicine in Puyallup, Washington and active in the NPI registry since May 2007. The organization lists Timothy B Jolley, Owner, as its authorized official.

NPPES Registry Identity

NPI1497962831
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NamePUYALLUP VALLEY PEDIATRIC ASSOCIATES, P.S.
Location Address1322 3RD ST SE, SUITE #240Puyallup, WA 98372-3771
Mailing Address1322 3rd St Se, Suite #240Puyallup, WA 98372-3771 · (253) 848-1572 · Fax (253) 841-3719
Phone(253) 848-1572
Fax(253) 841-3719
Organization SubpartNo
Authorized OfficialTimothy B JolleyOwner · (253) 848-1572
Enumeration DateMay 16, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1497962831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
1322 3RD ST SE, Puyallup, WA 98372
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Other Identifiers 1

Medicaid7142607WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

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

DR. MICHAEL WILLIAM GILLILAND M.D.
Anesthesiology (Pain Medicine)
1322 3RD ST SE, SUITE 100
PUYALLUP, WA 98372
Pierce County (253) 697-4128
JAMES GREEN D.O.
Family Medicine
1322 3RD ST SE, SUITE 240
PUYALLUP, WA 98372
Pierce County (253) 697-1420
DR. VENITA LENA SCHANDORF DNP, ARNP, FNP-BC
Nurse Practitioner (Family)
1322 3RD ST SE
PUYALLUP, WA 98372
Pierce County (253) 697-1420
CHANDNI SHARMA DO
Student in an Organized Health Care Education/Training Program
1322 3RD ST SE, #300
PUYALLUP, WA 98372
Pierce County (253) 697-1420
DR. JULIANNE RAMIREZ-NADJM PHARMD
Pharmacist
1322 3RD ST SE
PUYALLUP, WA 98372
Pierce County (253) 697-1356
DR. RYAN PATRICK FINN D.O.
Student in an Organized Health Care Education/Training Program
1322 3RD ST SE, SUITE 240
PUYALLUP, WA 98372
Pierce County (253) 697-1420
SOUND SURGICAL ASSOCIATES
Surgery
1322 3RD ST SE, SUITE 220
PUYALLUP, WA 98372
Pierce County (253) 697-4140
MARY LOUISE GRODA-LEWIS MD
Family Medicine
1322 3RD ST SE, STE 240
PUYALLUP, WA 98372
Pierce County (253) 697-5757

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 Puyallup Valley Pediatric Associates, P.S.'s NPI number?

The NPI number for Puyallup Valley Pediatric Associates, P.S. is 1497962831. It was assigned to this organization in the NPPES registry on May 16, 2007.

Where is Puyallup Valley Pediatric Associates, P.S. located?

Puyallup Valley Pediatric Associates, P.S. is located at 1322 3rd St SE Suite #240, Puyallup, WA 98372. The listed phone number is (253) 848-1572.

What is Puyallup Valley Pediatric Associates, P.S.'s specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Puyallup Valley Pediatric Associates, P.S. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.