DR. STEVEN J. NISCO (NPI# 1093713943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093713943 |
| Entity Type | Individual |
| Full Name | DR. STEVEN J. NISCO |
| Credential | M.D. |
| Practice Address |
62 W 7th Ave Ste 110 Spokane WA 99204-2321 |
| Practice Telephone | 5094560262 |
| Practice Fax Number | 5094625059 |
| Mailing Telephone | 5094560262 |
| Mailing Fax Number | 5094625059 |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2019-02-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | M-8949 | ID | Allopathic & Osteopathic Physicians |
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | MD00037581 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | MEDICARE PTAN | G8877881 | 01 |
| ID | 805475600 | 05 | |
| ID | MEDICARE PTAN | 11129351 | 01 |
| WA | MEDICARE PTAN | G8870915 | 01 |
| WA | 8246639 | 05 |
| Street Address |
62 W 7TH AVE STE 110 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99204-2321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801894811 | Leland G. Siwek | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 62 W 7th Ave Ste 110, Spokane, WA 99204-2321 | 2005-07-13 |
| 1053873158 | Davin Valenti | Nurse Practitioner | 62 W 7th Ave Ste 110, Spokane, WA 99204-2321 | 2019-04-05 |
| 1275998114 | Annamarie Rose Vaughan | Physician Assistant | 62 W 7th Ave Ste 110, Spokane, WA 99204 | 2015-12-18 |
| 1730569492 | Bart D Brinkmann | Nurse Practitioner | 62 W 7th Ave Ste 110, Spokane, WA 99204-2321 | 2015-06-08 |
| 1730584483 | Laurel Cope | Physician Assistant | 62 W 7th Ave Ste 110, Spokane, WA 99204 | 2014-10-23 |
| 1295137578 | Sara C Zimmer | Physician Assistant | 62 W 7th Ave Ste 110, Spokane, WA 99204-2321 | 2014-09-18 |
| 1376878447 | James L Garcia | Physician Assistant | 62 W 7th Ave Ste 110, Spokane, WA 99204-2321 | 2009-10-07 |
| 1750523577 | Alexi Matousek | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 62 W 7th Ave Ste 110, Spokane, WA 99204-2321 | 2009-03-25 |
| 1538311287 | Providence Health & Services-wa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 62 W 7th Ave Ste 110, Spokane, WA 99204-2321 | 2008-10-14 |
| 1386805539 | Matthew Donavon Forrester | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 62 W 7th Ave Ste 110, Spokane, WA 99204-2321 | 2008-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982250957 | Megan Elizabeth Dibenedetto | Pharmacist | 105 West 8th Avenue, 350e, Spokane, WA 99204 | 2019-08-14 |
| 1619521168 | Evelyn R Cabon | Genetic Counselor, MS | 101 W. 8th Avenue Suite 1100, Spokane, WA 99204 | 2019-08-01 |
| 1346700655 | Christina Rose | Student in an Organized Health Care Education/Training Program | 120 W. 8th Avenue, Spokane, WA 99204 | 2019-03-22 |
| 1508339862 | Cody J French | Physical Therapist | Washington Outpatient Rehab, 507 S Washington, Spokane, WA 99204 | 2019-01-09 |
| 1730655598 | Washington Outpatient Rehabilitation, LLC | Physical Therapist | 507 S. Washington St., Suite 10, Spokane, WA 99204 | 2018-10-19 |
| 1013405547 | Joel James Hayden | Student in an Organized Health Care Education/Training Program | Providence Sacred Heart, 101 West 8th Avenue, Spokane, WA 99204 | 2018-04-30 |
| 1144694787 | Brooksjohnsonpllc | Dentist | 1004 S. Monroe Street, Ste 100, Spokane, WA 99204 | 2015-11-19 |
| 1497184196 | Kathalene M Cassels | Physician Assistant | 810 W. 5th Ave. Ste 510, Spokane, WA 99204 | 2013-11-04 |
| 1174880454 | Kelly E Wurzel | Psychiatry & Neurology | 624 E. Front Ave, Spokane, WA 99204 | 2012-04-11 |
| 1003190331 | Katie L Gomez | Nurse Practitioner | 805 W. 5th Ave, Suite 518, Spokane, WA 99204 | 2011-10-05 |
| Find all providers in zip 99204 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497863773 | Kai A Ihnken | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 122 W 7th Ave Ste 110, Spokane, WA 99204-2301 | 2006-08-28 |
| 1801894811 | Leland G. Siwek | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 62 W 7th Ave Ste 110, Spokane, WA 99204-2321 | 2005-07-13 |
| 1750523577 | Alexi Matousek | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 62 W 7th Ave Ste 110, Spokane, WA 99204-2321 | 2009-03-25 |
| 1538311287 | Providence Health & Services-wa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 62 W 7th Ave Ste 110, Spokane, WA 99204-2321 | 2008-10-14 |
| 1386805539 | Matthew Donavon Forrester | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 62 W 7th Ave Ste 110, Spokane, WA 99204-2321 | 2008-06-20 |
| 1720245905 | Justin Reeves | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 62 W 7th Ave Ste 110, Spokane, WA 99204-2321 | 2008-05-16 |
| 1659558476 | Providence Health Care | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 122 W 7th Ave, Ste 330, Spokane, WA 99204-2349 | 2008-01-23 |
| 1902898331 | Theodore C Koutlas | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 62 W 7th Ave Ste 110, Spokane, WA 99204-2321 | 2005-08-22 |
| 1114925161 | Donald Vernon Holbert | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 122 W 7th Ave, Ste 110, Spokane, WA 99204-2349 | 2005-07-13 |
| 1902804867 | Michael A Judd | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 122 W 7th Ave, Ste 110, Spokane, WA 99204-2349 | 2005-07-13 |
| Find all providers in SPOKANE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.