OrganizationActive
South Whidbey Pediatrics
NPI 1194045708 · Pediatrics Physician · Freeland, WA
Provider details
- NPI number
- 1194045708
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Susan Wagner, Office Manager(360) 331-1314
- License
- MD00020537 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1690 Layton Rd
Freeland, WA 98249-9456
Phone: (360) 331-1314
Street-level locationGet directions
Mailing address
Po Box 8
Freeland, WA 98249
Registry dates
- Enumerated
- 2010-06-04
- Last updated
- 2010-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.