Ccm Specialty Care LLC
Pediatrics in Bellevue, WA. Organization (NPI-2).
NPI number1306636741
StatusActive
Last updated in NPPESNov 1, 2026
Details
- NPI
- 1306636741
- Entity type
- Organization (NPI-2)
- Legal business name
- Ccm Specialty Care LLC
- Organization subpart
- No
- Enumeration date
- May 8, 2025
- Certification date
- Nov 1, 2026
- Last updated
- Nov 1, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | – | – | Yes |
| 2080A0000X | Pediatrics, Adolescent Medicine | – | – | |
| 2080N0001X | Pediatrics, Neonatal-Perinatal Medicine | – | – | |
| 2080P0006X | Pediatrics, Developmental - Behavioral Pediatrics | – | – | |
| 2080P0008X | Pediatrics, Neurodevelopmental Disabilities | – | – | |
| 2080P0201X | Pediatrics, Pediatric Allergy/Immunology | – | – | |
| 2080P0203X | Pediatrics, Pediatric Critical Care Medicine | – | – | |
| 2080P0205X | Pediatrics, Pediatric Endocrinology | – | – | |
| 2080P0206X | Pediatrics, Pediatric Gastroenterology | – | – | |
| 2080P0214X | Pediatrics, Pediatric Pulmonology | – | – | |
| 2080P0216X | Pediatrics, Pediatric Rheumatology | – | – | |
| 2080P1004X | Pediatrics, Physician Nutrition Specialist | – | – | |
| 2080S0010X | Pediatrics, Sports Medicine | – | – | |
| 2080S0012X | Pediatrics, Sleep Medicine | – | – | |
| 2084N0400X | Psychiatry & Neurology, Neurology | – | – |
Other names
- Specialty Care Pediatrics (Doing Business As)
Practice location
1940 116th Ave Ne Ste 200bBellevue, WA 98004-3097
Phone 425-276-1825 · Fax 855-785-8770
Mailing address
710 S 348th St Ste BFederal Way, WA 98003-7042
Phone 425-276-1825 · Fax 855-785-8770
Authorized official
Christopher H Cheng
Medical Director
4252761825
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