Organization · Type 2 NPI

CCM Specialty Care LLC

Pediatrics Physician · Bellevue, WA

NPI number 1306636741 Active

Practice location

1940 116th Ave NE Ste 200B
Bellevue, WA 98004-3097

Fax (855) 785-8770

Mailing address

710 S 348th St Ste B
Federal Way, WA 98003-7042

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician Primary 208000000XNone listed
Pediatric Adolescent Medicine Physician 2080A0000XNone listed
Neonatal-Perinatal Medicine Physician 2080N0001XNone listed
Developmental - Behavioral Pediatrics Physician 2080P0006XNone listed
Pediatric Neurodevelopmental Disabilities Physician 2080P0008XNone listed
Pediatric Allergy/Immunology Physician 2080P0201XNone listed
Pediatric Critical Care Medicine Physician 2080P0203XNone listed
Pediatric Endocrinology Physician 2080P0205XNone listed
Pediatric Gastroenterology Physician 2080P0206XNone listed
Pediatric Pulmonology Physician 2080P0214XNone listed
Pediatric Rheumatology Physician 2080P0216XNone listed
Physician Nutrition Specialist (Pediatrics) 2080P1004XNone listed
Pediatric Sports Medicine Physician 2080S0010XNone listed
Pediatric Sleep Medicine Physician 2080S0012XNone listed
Neurology Physician 2084N0400XNone listed

Pediatrics Physician: 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 de…

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About NPI 1306636741

CCM Specialty Care LLC's National Provider Identifier is 1306636741, issued on May 8, 2025. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Bellevue, WA. The record was last updated on Nov 1, 2026.