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Active NPI 1528168432 Individual Practitioner Male Practitioner

Dr. Gary M Podhaisky , MD

Pediatrics • Kennewick, WA

Professional Overview & Biography Verified Profile Summary

Dr. Gary Podhaisky, MD is a registered healthcare professional specializing in Pediatrics in Kennewick, WA. Practice services are available at 3900 ZINTEL WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3900 Zintel Way

Kennewick, WA 99338

Telephone 5099423125
Fax 5097832167

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Kennewick, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 37.0 Yrs
State Avg: 18.8 Yrs
Regional Practice Density
19 Specialists

Practicing in Kennewick, WA (1802 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-06-22
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License WA MD00048590

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.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License NV 9069

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
8493496 (WA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Mary Ameh , ARNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1063881274

Advanced Registered Nurse Practitioner

NPI 1285327841

Doctor of Osteopathic Medicine (D.O.)

NPI 1417423112

Master of Social Work, CMHS

NPI 1487397444

Doctor of Medicine (M.D.)

Dr. Joshua Lum , MD

Family Medicine

NPI 1568895175

Doctor of Medicine (M.D.)

NPI 1619184025

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Business Mailing Address November 05, 2018

Registered at 3900 S ZINTEL WAY, FL 2, KENNEWICK, WA 993375092 (Tel: 5099423125)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2018

Pediatrics (License #MD00048590 in WA)

NPI Profile Active September 27, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location September 27, 2013

Registered at 3900 ZINTEL WAY, KENNEWICK, WA 99338 (Tel: 5099423125)

📍
Updated Business Mailing Address September 27, 2013

Registered at 3900 S ZINTEL WAY, KENNEWICK, WA 99338 (Tel: 5099423627)

👤
Provider Name / Credentials Updated September 27, 2013

Recorded as GARY PODHAISKY, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2013

Pediatrics (License #MD00048590 in WA)

🟢
Initial NPI Registration & Enumeration September 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528168432
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 22, 2006
Last Update: June 22, 2021
Sole Proprietor: No

Mailing Address

3900 S Zintel Way, Fl 2

Kennewick, WA 993375092

Phone: 5099423125

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.