WANDERMERE OCCUPATIONAL MEDICINE PLLC (NPI# 1295114346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295114346 |
| Entity Type | Organization |
| Organization Name | WANDERMERE OCCUPATIONAL MEDICINE PLLC |
| Practice Address |
309 E Farwell Rd Suite204 Spokane WA 99218-8210 |
| Mailing Address |
5011 W Alcott Ct Spokane WA 99208-9141 |
| Practice Telephone | 5097207452 |
| Practice Fax Number | 5094664798 |
| Mailing Telephone | 5098790039 |
| Mailing Fax Number | 5094664798 |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2015-10-26 |
| Authorized Official Name | DANIEL J DEPNER (CLINIC DIRECTOR) |
| Authorized Official Telephone | 5098790039 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
PA10001774 | WA | Ambulatory Health Care Facilities |
| Street Address |
309 E FARWELL RD SUITE204 |
| 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 |
| 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 |
| 1154645190 | Northwest Neurology, Pllc | Psychiatry & Neurology | 309 E Farwell Rd, Suite 204, Spokane, WA 99218-8210 | 2010-03-19 |
| 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 | 261QX0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Occupational Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154378750 | Occupational Medicine Associates Ps | Clinic/Center | 323 E Second Avenue, Suite 102, Spokane, WA 99202 | 2006-05-28 |
| 1295380384 | Spokane Work Injury Clinic Pllc | Clinic/Center | 6821 N Country Homes Blvd Ste 101, Spokane, WA 99208-4373 | 2019-08-06 |
| 1083197701 | Occupational Health Centers of Washington, P.s. | Clinic/Center | 2005 E 29th Ave, Spokane, WA 99203-3957 | 2018-09-09 |
| 1174006894 | Occupational Health Centers of Washington, P.s. | Clinic/Center | 9222 N Newport Hwy Ste 1, Spokane, WA 99218-1235 | 2018-09-09 |
| 1841622172 | Regency At Northpointe | Clinic/Center | 1224 E Westview Ct, Spokane, WA 99218-3813 | 2013-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851876619 | Occupational Health Centers of Washington, P.s. | Clinic/Center | 1300 S 320th St Ste A, Federal Way, WA 98003-5359 | 2018-09-27 |
| 1386127181 | Occupational Health Centers of Washington, P.s. | Clinic/Center | 140 4th Ave N Ste 150, Seattle, WA 98109-4940 | 2018-09-08 |
| 1134648546 | Sunnyside Community Hospital Association | Clinic/Center | 516 W 4th Ave, Toppenish, WA 98948-1616 | 2017-09-18 |
| 1881113298 | Sunnyside Community Hospital Association | Clinic/Center | 111 S 11th Ave Ste 320, Yakima, WA 98902-3273 | 2017-09-18 |
| 1134537780 | Infinity Rehab | Clinic/Center | 17517 52nd Ave W # B-2, Lynnwood, WA 98037-5701 | 2014-07-28 |
| 1366884504 | Whole Health Medical Group Ohio Professional Corporation | Clinic/Center | 1200 Merrill Creek Pkwy, Everett, WA 98203-7152 | 2013-07-29 |
| 1679827877 | Schweitzer Engineering Laboratories | Clinic/Center | 2440 Ne Hopkins Ct., Pullman, WA 99163 | 2012-11-09 |
| 1639441165 | Central Washington Sleep Diagnostic Center, Pllc | Clinic/Center | 520 W Indian Avenue, Brewster, WA 98812 | 2012-01-30 |
| 1477713196 | Rainier Occupational Medical Center | Clinic/Center | 1400 South Jackson St, #24, Seattle, WA 98144-2096 | 2008-06-16 |
| 1972660520 | Eric S Smith Md Inc | Clinic/Center | 3010 Squalicum Parkway, Bellingham, WA 98225 | 2007-01-02 |
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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.