PHYSICIANS CLINIC OF SPOKANE PS (NPI# 1336186105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336186105 |
| Entity Type | Organization |
| Organization Name | PHYSICIANS CLINIC OF SPOKANE PS |
| Practice Address |
820 S Mcclellan #ll10 Spokane WA 99204 |
| Practice Telephone | 5093533973 |
| Practice Fax Number | 5098388275 |
| Mailing Telephone | 5093533973 |
| Mailing Fax Number | 5098388275 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2011-06-01 |
| Authorized Official Name | KRIK ROWBOTHAM (CEO) |
| Authorized Official Telephone | 5097471144 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
L0620049 | WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | L & I | 00606 | 01 |
| WA | 7202609 | 05 |
| Street Address |
820 S MCCLELLAN #LL10 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639145618 | Andrew T Howlett | Orthopaedic Surgery | 820 S Mcclellan, Ste 300, Spokane, WA 99204-2450 | 2006-02-28 |
| 1023310489 | Providence Physician Services Co | Orthopaedic Surgery | 820 S Mcclellan, Ste 300, Spokane, WA 99204-2450 | 2010-11-17 |
| 1386693307 | Daniel J Dionne | Internal Medicine | 820 S Mcclellan, Suite 200, Spokane, WA 99204 | 2006-05-08 |
| 1245297712 | Jeffrey B Clode | Internal Medicine | 820 S Mcclellan, #ll10, Spokane, WA 99204 | 2006-04-28 |
| 1104882455 | Jeffrey B Collins | Internal Medicine | 820 S Mcclellan, #ll10, Spokane, WA 99204 | 2006-04-25 |
| 1558327189 | Stephen G Johnson | Internal Medicine | 820 S Mcclellan, #ll10, Spokane, WA 99204 | 2006-04-22 |
| 1740246362 | Mark A Johnson | Internal Medicine | 820 S Mcclellan, #ll10, Spokane, WA 99204 | 2006-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982250957 | Megan Elizabeth Dibenedetto | Pharmacist | 105 West 8th Avenue, 350e, Spokane, WA 99204 | 2019-08-14 |
| 1619521168 | Evelyn R Cabon | Genetic Counselor, MS | 101 W. 8th Avenue Suite 1100, Spokane, WA 99204 | 2019-08-01 |
| 1346700655 | Christina Rose | Student in an Organized Health Care Education/Training Program | 120 W. 8th Avenue, Spokane, WA 99204 | 2019-03-22 |
| 1508339862 | Cody J French | Physical Therapist | Washington Outpatient Rehab, 507 S Washington, Spokane, WA 99204 | 2019-01-09 |
| 1730655598 | Washington Outpatient Rehabilitation, LLC | Physical Therapist | 507 S. Washington St., Suite 10, Spokane, WA 99204 | 2018-10-19 |
| 1013405547 | Joel James Hayden | Student in an Organized Health Care Education/Training Program | Providence Sacred Heart, 101 West 8th Avenue, Spokane, WA 99204 | 2018-04-30 |
| 1144694787 | Brooksjohnsonpllc | Dentist | 1004 S. Monroe Street, Ste 100, Spokane, WA 99204 | 2015-11-19 |
| 1497184196 | Kathalene M Cassels | Physician Assistant | 810 W. 5th Ave. Ste 510, Spokane, WA 99204 | 2013-11-04 |
| 1174880454 | Kelly E Wurzel | Psychiatry & Neurology | 624 E. Front Ave, Spokane, WA 99204 | 2012-04-11 |
| 1003190331 | Katie L Gomez | Nurse Practitioner | 805 W. 5th Ave, Suite 518, Spokane, WA 99204 | 2011-10-05 |
| Find all providers in zip 99204 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043822372 | Bryan Scott Lebo | Clinic/Center | 9425 N Nevada St Ste 300, Spokane, WA 99218-1286 | 2020-08-18 |
| 1518469147 | Inland Medical Evaluations | Clinic/Center | 323 E 2nd Ave, Spokane, WA 99202-1455 | 2018-02-28 |
| 1649561622 | Kaiser Foundation Health Plan of Washington | Clinic/Center | 4102 S Regal St, Suite 101, Spokane, WA 99223-5083 | 2011-04-26 |
| 1104117183 | Kaiser Foundation Health Plan of Washington | Clinic/Center | 6002 N Lidgerwood St, Spokane, WA 99208-1124 | 2011-04-26 |
| 1194016170 | Kaiser Foundation Health Plan of Washington | Clinic/Center | 322 W North River Dr, Spokane, WA 99201-3208 | 2011-04-26 |
| 1669789228 | Northwest Spine and Pain Medicine, Pllc | Clinic/Center | 3124 S Regal St, Spokane, WA 99223-4704 | 2010-09-02 |
| 1518167923 | Spokane Spine Center PC | Clinic/Center | 124 E Rowan Ave, Suite 202, Spokane, WA 99207-1214 | 2007-07-23 |
| 1073720538 | Columbia Medical Associates, LLC | Clinic/Center | 1003 E Trent Ave, Suite 150, Spokane, WA 99202-2180 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326676818 | Nocd Washington PC | Clinic/Center | 2320 130th Ave Ne Ste 110, Bellevue, WA 98005-1752 | 2020-03-30 |
| 1922635887 | Cascade Nurse Practitioners | Clinic/Center | 5409 100th St Sw Unit 39800, Lakewood, WA 98496-0970 | 2020-03-23 |
| 1942735667 | The Evergreen At Northpoint | Clinic/Center | 2111 N Northgate Way Ste 101, Seattle, WA 98133-9018 | 2017-05-01 |
| 1174061543 | Antares Wellness Pllc | Clinic/Center | 9319 7th Ave S, Seattle, WA 98108-4604 | 2017-02-06 |
| 1962852038 | Northwest Pain Relief Centers, LLC | Clinic/Center | 503 W Fir St, Suite D, Sequim, WA 98382-3210 | 2016-06-20 |
| 1851741698 | Marconi Chiropractic and Wellness | Clinic/Center | 11207 Mccutcheon Rd, Bonney Lake, WA 98391-8103 | 2016-06-13 |
| 1356738694 | Northwest Pain Relief Centers LLC | Clinic/Center | 7424 Bridgeport Way W Ste 305, Lakewood, WA 98499-8135 | 2015-04-24 |
| 1306231170 | Objective Medical Assessments Corp | Clinic/Center | 401 2nd Ave S, #110, Seattle, WA 98104-3858 | 2015-03-30 |
| 1477946754 | Rose Urgent Care and Family Practice | Clinic/Center | 650 N Devine Rd Ste B, Vancouver, WA 98661-6979 | 2015-03-11 |
| 1336549609 | Ranger Group Pllc | Clinic/Center | 16150 Ne 85th St Ste 110, Redmond, WA 98052-3541 | 2014-08-24 |
| Find all providers with the same taxonomy | ||||
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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.