ALEX PONOMARENKO


Address: 205 W Indiana Ave Ste B, Spokane, WA 99205-4763
Phone: 5093266474

ALEX PONOMARENKO (NPI# 1215009568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215009568
Entity Type Individual
Full Name ALEX PONOMARENKO
Credential ARNP
Practice Address 205 W Indiana Ave Ste B
Spokane
WA 99205-4763
Practice Telephone 5093266474
Mailing Telephone 5093266474
Enumeration Date 2006-11-14
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
AP30007005 WA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 205 W INDIANA AVE STE B
City SPOKANE
State WA
Zip Code 99205-4763

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NPI Name Taxonomy Address Enumeration
1275027740 Jill Sanders Behavior Technician 1104 West Wellesley, Spokane, Wa, United States, Ste D, Spokane, WA 99205 2018-06-19
1265981997 Lorraine Jeanette Diricco Registered Nurse 1717 W Francis Ave Ste 204, Spokane, WA 99205 2016-09-22
1992156749 Dane Sultzer Optometrist 1123 W Fairview Ave, Spokane, WA 99205 2016-06-23
1770975864 Trevor George Naturopath 3710 N Monroe, Spokane, WA 99205 2015-02-26
1003246661 Rita Y Flanagan Psychologist 4815 N Assembly St, Room B256, Spokane Va Medical Center, Spokane, WA 99205 2013-11-19
1649616277 Mary Anyango Okello Nurse's Aide 3614 W. Wellesley Ave, Spokane, WA 99205 2013-05-22
1710242367 Amy Clement Dentist 4815 N Assembly St., Spokane, WA 99205 2012-07-10
1114202082 Teresa J Stella Pharmacist 3919 N. Maple St., Spokane, WA 99205 2011-10-11
1184905218 James Anthony Carnell Dentist 4610 N. Ash St., (suite 204), Spokane, WA 99205 2011-09-02
1508150632 Jennifer Leigh Knuston Social Worker 207 W Nora Ave, Spokane, WA 99205 2011-06-06
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508854159 James F Pittman Phd Arnp Ps Nurse Practitioner 9103 N Division St, Spokane, WA 99218-1251 2005-10-07
1306842596 Vinetta A Macpherson Nurse Practitioner 1803 W Maxwell, Spokane, WA 99201 2005-06-22
1285231589 Lindsay Brookhart Nurse Practitioner 5901 N Lidgerwood St Ste 126, Spokane, WA 99208-1122 2020-10-08
1407190606 Geoffrey Mwangi Nurse Practitioner 1803 W Maxwell Ave, Spokane, WA 99201-2831 2012-11-12
1902151103 Kathryn Louise Ormsby Nurse Practitioner 9911 N Nevada St, Spokane, WA 99218-1298 2012-07-13
1295996494 Brenda M Stoudt Nurse Practitioner 316 W Boone Ave, Rock Pointe Tower Suite 375, Spokane, WA 99201-2354 2008-06-19
1740474071 James F Pittman Nurse Practitioner 9103 N Division St, Spokane, WA 99218-1251 2007-08-29
1780878017 Rhonna Flomer Lee Nurse Practitioner 9103 N Division St, Spokane, WA 99218-1251 2007-08-29
1437343746 Joan C Zimmer Nurse Practitioner 9103 N Division St, Spokane, WA 99218-1251 2007-08-29
1982692539 Rhonna Lee Arnp, Ps Nurse Practitioner 9103 N Division St, Spokane, WA 99218-1251 2005-10-07
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Competitor

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City SPOKANE
Zip Code 99205

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Dataset Information

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.

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