PROVIDENCE PHYSICIAN SERVICES CO. (NPI# 1295135598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295135598 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE PHYSICIAN SERVICES CO. |
| Other Organization Name | PMG E WA ORTHO NORTH DME |
| Practice Address |
212 E Central Ave Suite 245 Spokane WA 99208-6291 |
| Mailing Address |
101 W 8th Ave Mother Gamelin Center 3rd Floor Spokane WA 99204-2307 |
| Practice Telephone | 5094653026 |
| Mailing Telephone | 5094747317 |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2016-01-29 |
| Authorized Official Name | BILLIE JEAN MOUNTS (CHIEF REIMBURSEMENT OFFICER) |
| Authorized Official Telephone | 4256873910 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Other Name | Type Code |
|---|---|
| PMG E WA ORTHO NORTH DME | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992083216 | Providence Physician Services Co. | Orthopaedic Surgery | 820 S Mcclellan, Suite 300, Providence Orthopedic Specialties, Spokane, WA 99204 | 2011-08-03 |
| 1023385721 | Providence Physician Services Co. | Family Medicine | 105 W 8th Ave, Suite 7040, Spokane, WA 99204-2302 | 2011-11-23 |
| 1831146968 | Providence Physician Services Co. | Pediatrics | 101 W 8th Ave, Mother Gamelin Center 3rd Flr, Spokane, WA 99204-2307 | 2006-05-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | PROVIDENCE PHYSICIAN SERVICES CO. | 1801 Lind Ave Sw, Renton, WA 98057-3368 |
| Street Address |
212 E CENTRAL AVE SUITE 245 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99208-6291 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477550572 | Philip Coff | Internal Medicine | 212 E Central Ave, Suite 440, Spokane, WA 99208-6291 | 2005-07-05 |
| 1881059954 | Providence Health & Services Washington | Prosthetic/Orthotic Supplier | 212 E Central Ave, Suite 245, Spokane, WA 99208-6291 | 2015-12-16 |
| 1881096774 | Timothy Brim | Physician Assistant | 212 E Central Ave, Suite 365, Spokane, WA 99208-6291 | 2014-09-23 |
| 1841605433 | Nicole Breen | Family Medicine | 212 E Central Ave, Spokane, WA 99208-6291 | 2014-06-23 |
| 1154614469 | Jessica Renae Craddock | Internal Medicine | 212 E Central Ave, Suite 440, Spokane, WA 99208-6291 | 2011-05-19 |
| 1639471667 | Daniel J Simon | Physician Assistant | 212 E Central Ave, Suite 440, Spokane, WA 99208-6291 | 2010-11-24 |
| 1609182070 | David Bryan Ramey | Psychiatry & Neurology | 212 E Central Ave, Suite 315, Spokane, WA 99208-6291 | 2010-08-24 |
| 1942513874 | Providence Health & Services - Washington | Internal Medicine | 212 E Central Ave, Suite 240, Spokane, WA 99208-6289 | 2010-07-20 |
| 1154648814 | Providence Physician Services Co | Family Medicine | 212 E Central Ave, Ste 440, Spokane, WA 99208-6291 | 2010-04-21 |
| 1528385283 | Providence Physician Services Co | Family Medicine | 212 E Central Ave, Ste 440, Spokane, WA 99208-6290 | 2010-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043787161 | Bonnie Rose Spencer | Social Worker | E 44 Cozza, Spokane, WA 99208 | 2018-10-26 |
| 1235617515 | Melissa Dawn Scholl | Massage Therapist | 906 E Country Hill Ct, Spokane, WA 99208 | 2018-07-30 |
| 1043706583 | Healthy Schools Washington, Pllc | Pediatrics | 1028 West Rosewood Ave, Spokane, WA 99208 | 2018-07-09 |
| 1467943720 | Simone Ferguson | Student in an Organized Health Care Education/Training Program | 7808 North Morton Avenue, Apt. # 675, Spokane, WA 99208 | 2018-05-22 |
| 1912496035 | Ascend Network Corp | Counselor | 3711 W Woodside, Spokane, WA 99208 | 2018-05-03 |
| 1023522216 | Cherrywood Place-spokane, LLC | Assisted Living Facility | 100 East Dalke Ave, Spokane, WA 99208 | 2017-11-27 |
| 1881118792 | Annie Kamau | Registered Nurse | 5920 W Lonewolf, Spokane, WA 99208 | 2017-08-01 |
| 1609303908 | Jeffery Anthony Glinski | Counselor | 3754 W. Indian Trail Rd., Spokane, WA 99208 | 2017-05-17 |
| 1487186938 | Mukhlis Azar | Physical Therapy Assistant | 305 E Sierra Ct, Spokane, WA 99208 | 2017-04-03 |
| 1154796241 | Daisy O'dell | Marriage & Family Therapist | 515 W. Francis Ave., Suite #8, Spokane, WA 99208 | 2015-12-01 |
| Find all providers in zip 99208 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699317784 | Preferred Orthotic and Prosthetic Services, Inc | Prosthetic/Orthotic Supplier | 520 S Cowley St Ste 104, Spokane, WA 99202-1315 | 2019-10-10 |
| 1871733683 | Pacific Footwear Company Inc | Prosthetic/Orthotic Supplier | 1010 N Normandie St, Ste 301, Spokane, WA 99201-2270 | 2009-03-06 |
| 1063696870 | Rizzuto's Wide Shoes | Prosthetic/Orthotic Supplier | 4407 N Division St # 106, Spokane, WA 99207-1600 | 2007-12-28 |
| 1821152471 | Norco, Inc | Prosthetic/Orthotic Supplier | 520 E North Foothills Dr, Spokane, WA 99207-2164 | 2006-12-20 |
| 1154356707 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 828 W Main Ave, Spokane, WA 99201-0904 | 2006-07-12 |
| 1346202496 | Spokane Home Healthcare Inc | Prosthetic/Orthotic Supplier | 1309 W 1st Ave, Spokane, WA 99201-4113 | 2006-04-04 |
| 1962479915 | Inland Northwest Orthotics and Prosthetics, Inc | Prosthetic/Orthotic Supplier | 401 S Sherman St., Spokane, WA 99202-6001 | 2006-03-08 |
| 1760984132 | Pacific Medical, Inc. | Prosthetic/Orthotic Supplier | 611 E 2nd Ave, Spokane, WA 99202-6010 | 2018-03-01 |
| 1881059954 | Providence Health & Services Washington | Prosthetic/Orthotic Supplier | 212 E Central Ave, Suite 245, Spokane, WA 99208-6291 | 2015-12-16 |
| 1639580103 | Janalair LLC | Prosthetic/Orthotic Supplier | 502 E 5th Ave, Spokane, WA 99202-1313 | 2014-05-18 |
| 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.