CLEARWATER NEUROSURGERY & SPINAL SURGERY ASSOCIATES PLLC (NPI# 1235326208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235326208 |
| Entity Type | Organization |
| Organization Name | CLEARWATER NEUROSURGERY & SPINAL SURGERY ASSOCIATES PLLC |
| Practice Address |
324 5th St Suite 101 Lewiston ID 83501 |
| Mailing Address |
324 5th St Suite 101 Lewiston ID 83501-2408 |
| Practice Telephone | 2087465025 |
| Practice Fax Number | 2087464946 |
| Mailing Telephone | 2087465025 |
| Mailing Fax Number | 2087464946 |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2018-06-04 |
| Authorized Official Name | JEFF J BISHOP (BILLING MANAGER) |
| Authorized Official Telephone | 5096843606 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | M-4871 | ID | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7140247 | 05 | |
| ID | 80783320 | 05 |
| Street Address |
324 5TH ST SUITE 101 |
| City | LEWISTON |
| State | ID |
| Zip Code | 83501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780620765 | Donald S Soloniuk | Neurological Surgery | 324 5th St, Suite 101, Lewiston, ID 83501-2408 | 2006-06-20 |
| 1386834521 | Sandra Lotstein | Internal Medicine | 324 5th St, Ste 102, Lewiston, ID 83501-2408 | 2007-07-25 |
| 1861615346 | Neurosurgery & Spine Care Specialists, Pllc | Specialist | 324 5th St, Suite 101, Lewiston, ID 83501-2408 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679193759 | Jacqueline M Aldrich | Behavior Technician | 3407 12th Street C, 3407 12th Street C, Lewiston, ID 83501 | 2020-04-20 |
| 1295228054 | Provident Foundation - Wedgewood Terrace LLC | Alzheimer Center (Dementia Center) | 2114 Vineyard Avenue, Lewiston, ID 83501 | 2018-06-07 |
| 1164945325 | Xiaofei Liu | Massage Therapist | 234 Thain Rd, Lewiston, ID 83501 | 2017-07-19 |
| 1467909879 | Sharon Thulon | Registered Nurse | 1118 F Street, Lewiston, ID 83501 | 2016-09-01 |
| 1821459496 | Gem State Endoscopy | Clinic/Center | 3709 14th Street, Lewiston, ID 83501 | 2016-03-10 |
| 1508264995 | Gary L. Grogan | Psychologist | 633 Main Street, B#1, Lewiston, ID 83501 | 2014-12-17 |
| 1003189366 | John Joseph Johnson | Dentist | 3510 12th Street, Suite #600, Lewiston, ID 83501 | 2012-02-17 |
| 1306134077 | Rowena Kathryn Jackson | Counselor | 531 Bryden Avenue, Lewiston, ID 83501 | 2011-07-15 |
| 1912290388 | Staci Leanne Truby | Massage Therapist | 717 'd' Street, Lewiston, ID 83501 | 2011-05-18 |
| 1093040685 | Sharie Ann Uhlorn | Registered Nurse | 1837 Alder Court, Lewiston, ID 83501 | 2009-10-15 |
| Find all providers in zip 83501 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699328823 | Megan Elaine Mackenzie | Specialist | 588 Sandlewood Dr, Lewiston, NY 14092-1110 | 2019-07-17 |
| 1033653639 | Samuel Tepper | Specialist | 207 Thain Rd, Lewiston, ID 83501-4829 | 2016-12-15 |
| 1871937086 | Allison Marie Perfetti | Specialist | 4919 Creek Road Ext, Lewiston, NY 14092-1846 | 2013-04-18 |
| 1912190489 | Lewis Charles Garlow | Specialist | 765 Center St, Lewiston, NY 14092-1705 | 2007-08-19 |
| 1407056658 | Child Development Services Androscoggin | Specialist | 1567 Lisbon St, Lewiston, ME 04240-3545 | 2007-07-24 |
| 1154549756 | Niagara Physical Therapy PC | Specialist | 736 Cayuga Street, Lewiston, NY 14092 | 2007-04-22 |
| 1154468775 | Daniel Raymond Miller | Specialist | 321 Skyline Dr, Lewiston, ID 83501-4220 | 2007-01-31 |
| 1811057458 | Joseph Wayne Flynn | Specialist | 12 Bates Street, Lewiston, ME 04240 | 2006-12-12 |
| 1174699730 | John Lindsey Williams | Specialist | 1850 Idaho St, Lewiston, ID 83501-2575 | 2006-11-27 |
| 1902902737 | Liliana C Saunero-nava | Specialist | 222 Southway Ave Ste C, Lewiston, ID 83501-2703 | 2006-09-16 |
| Find all providers in LEWISTON | ||||
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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.