Thomas W Pendergrass
M.D., M.S.P.H. | Pediatric Hematology-Oncology | Male
Thomas W Pendergrass, M.D., M.S.P.H. is a Seattle, Washington based Pediatric doctor with medical specialization in
Pediatric Hematology-Oncology.
Current practice location of Thomas W Pendergrass is
4800 Sand Point Way Ne, Seattle, Washington - 98105. He can be contacted on phone at
206-987-2106 and fax number 206-987-5105.
Thomas W Pendergrass is a sole proprietor of his business.
NPI number (Unique professional ID) for Thomas W Pendergrass is
1124109483 which was assigned by NPPES on 17 Oct, 2006 and it was last updated on 18 Jun, 2018.
Thomas W Pendergrass license number is
MD00014612 for Pediatrics Pediatric Hematology-Oncology (2080P0207X) in Washington.
Thomas W Pendergrass is trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Complete Profile:
Thomas W Pendergrass basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Hematology-Oncology |
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| Provider Name : | Thomas W Pendergrass |
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| Credential : | M.D., M.S.P.H. |
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| Gender : | Male |
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Business Address:
Thomas W Pendergrass address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 4800 Sand Point Way Ne
Seattle, WA, 98105
United States |
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| Phone Number : | 206-987-2106 |
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| Fax Number : | 206-987-5105 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1124109483 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 17 Oct, 2006 |
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| Last Updated On : | 18 Jun, 2018 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Thomas W Pendergrass are as mentioned. Primary taxonomy code for Thomas W Pendergrass, M.D., M.S.P.H. is
2080P0207X (Pediatrics Pediatric Hematology-Oncology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | MD00014612 | WA |
| 2080P0207X | Pediatrics Pediatric Hematology-Oncology | Yes | MD00014612 | WA |
Legacy Identifiers:
Other legacy medical identifiers of Thomas W Pendergrass such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 0826 | Other | | INTERNAL ID-MOTOR VEHICLE ID |
| 8362105 | MEDICAID | WA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 5371, 4800 Sand Point Way Ne
Seattle, WA, 98145-5005
United States |
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| Phone Number : | 206-987-2106 |
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| Fax Number : | 206-987-5105 |
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Business Location:
Patients can refer following map for directions to
Thomas W Pendergrass practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.