NORTHWEST NEUROLOGY, PLLC (NPI# 1154645190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154645190 |
| Entity Type | Organization |
| Organization Name | NORTHWEST NEUROLOGY, PLLC |
| Practice Address |
309 E Farwell Rd Suite 204 Spokane WA 99218-8210 |
| Practice Telephone | 5094893879 |
| Practice Fax Number | 5094841823 |
| Mailing Telephone | 5094893879 |
| Mailing Fax Number | 5094841823 |
| Enumeration Date | 2010-03-19 |
| Last Update Date | 2014-10-07 |
| Authorized Official Name | DR. DAVID M HENZLER (OWNER) |
| Authorized Official Telephone | 5094893879 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235554502 | Northwest Neurology, Pllc | Psychiatry & Neurology | 1520 Meadowview Dr, Wilkesboro, NC 28697-7348 | 2014-02-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | NORTHWEST NEUROLOGY, PLLC | 720 West Boone Ave Ste 200, Spokane, WA 99201 |
| Street Address |
309 E FARWELL RD SUITE 204 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99218-8210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053307298 | Stephen Patrick Anthony | Internal Medicine | 309 E Farwell Rd, Suite 100, Spokane, WA 99218-8202 | 2005-09-22 |
| 1982064507 | Kerrin Michele Sorrie | Nurse Practitioner | 309 E Farwell Rd, Suite 100, Spokane, WA 99218-8210 | 2016-02-24 |
| 1295114346 | Wandermere Occupational Medicine Pllc | Clinic/Center | 309 E Farwell Rd, Suite204, Spokane, WA 99218-8210 | 2015-05-22 |
| 1760890677 | Hannah N Lee Hunter | Physical Therapist | 309 E Farwell Rd, Ste 104, Spokane, WA 99218-8210 | 2014-07-24 |
| 1912273293 | Andrew Rowley | Specialist/Technologist | 309 E Farwell Rd, Spokane, WA 99218-8202 | 2012-03-30 |
| 1760786933 | Oconnor Family Medicine Pllc | Family Medicine | 309 E Farwell Rd, 204, Spokane, WA 99218-8207 | 2011-01-03 |
| 1356501811 | Rebecca Jean Leestma | Massage Therapist | 309 E Farwell Rd, 206, Spokane, WA 99218-8202 | 2008-06-09 |
| 1851492771 | Daniel J Depner | Physician Assistant | 309 E Farwell Rd, Ste 204, Spokane, WA 99218-8207 | 2006-09-25 |
| 1528166766 | Jeffrey Robert O'connor | Family Medicine | 309 E Farwell Rd, Ste 204, Spokane, WA 99218-8207 | 2006-09-20 |
| 1437123239 | Michael L Kistler | Physical Therapist | 309 E Farwell Rd, Suite 104, Spokane, WA 99218 | 2006-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891282455 | Timary Mathena | Specialist/Technologist | 11107 North Astor Road, Spokane, WA 99218 | 2018-04-19 |
| 1619423316 | Hi5 Orthodontics | Clinic/Center | 9425 N Nevaa, Suite 100, Spokane, WA 99218 | 2016-09-01 |
| 1245689389 | Heather Beats | Massage Therapist | 101 E. Hastings Rd. Ste G, Spokane, WA 99218 | 2016-06-09 |
| 1770979411 | Sparks Massage LLC-dba Elements Masssage | Massage Therapist | 101 E. Hastings Rd., Spokane, WA 99218 | 2015-04-09 |
| 1902295363 | Annabelle Morgan | Midwife | 11725 N Lincoln Ct, Spokane, WA 99218 | 2015-01-22 |
| 1578967543 | Deana Marie Ray | Massage Therapist | 1231 N Division, Ste 105, Spokane, WA 99218 | 2014-10-20 |
| 1770909889 | Krista Dye | Occupational Therapist | 9827 N Nevada, Spokane, WA 99218 | 2014-03-13 |
| 1265855845 | Breanna Zeis | Massage Therapist | 624 W. Hastings, Suite 16, Spokane, WA 99218 | 2014-02-02 |
| 1730516642 | Christie Nygaard | Massage Therapist | 101 E. Hastings Rd, Spokane, WA 99218 | 2013-10-09 |
| 1629312749 | Michelle Reid | Community Health Worker | 10709 N Madison, Spokane, WA 99218 | 2012-11-15 |
| Find all providers in zip 99218 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730683053 | Selkirk Neurology Pllc | Psychiatry & Neurology | 610 S Sherman St Ste 201, Spokane, WA 99202-1342 | 2018-03-21 |
| 1962740274 | Legacy Neuromonitoring, LLC | Psychiatry & Neurology | 1818 W Francis Ave, Pmb #299, Spokane, WA 99205-6834 | 2013-01-21 |
| 1477690618 | Neurology Associates of Spokane | Psychiatry & Neurology | 715 S Cowley St Ste 224, Spokane, WA 99202-1384 | 2007-01-30 |
| 1801962923 | John Robert Clark | Psychiatry & Neurology | 42 East Rowan Suite B, Spokane, WA 99207 | 2006-11-28 |
| 1386758712 | David R Greeley | Psychiatry & Neurology | 26 E 5th Ave, Spokane, WA 99202-1309 | 2006-08-19 |
| 1447263769 | Nydia Margarita Melendez-brugueras | Psychiatry & Neurology | 910 W 5th Ave Ste 1000, Spokane, WA 99204-2975 | 2006-08-15 |
| 1245246990 | John Edward Chapin | Psychiatry & Neurology | 105 W 8th Ave Ste 318c, Spokane, WA 99204-2318 | 2006-08-01 |
| 1851344329 | Sylvia B Rojas | Psychiatry & Neurology | 12519 N Division St Ste 4, Spokane, WA 99218-1936 | 2006-05-18 |
| 1366445702 | Joseleeto Chua | Psychiatry & Neurology | 400 E 5th Ave, Spokane, WA 99202-1334 | 2005-05-31 |
| 1972506814 | Jennifer Kay Pary | Psychiatry & Neurology | 105 W 8th Ave, Suite 318c, Spokane, WA 99204-2302 | 2005-05-24 |
| 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.