PROVIDENCE PHYSICIAN SERVICES CO


Address: 104 W 5th Ave, Suite 390e, Spokane, WA 99204
Phone: 5093858778

PROVIDENCE PHYSICIAN SERVICES CO (NPI# 1336433812) 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) 1336433812
Entity Type Organization
Organization Name PROVIDENCE PHYSICIAN SERVICES CO
Other Organization Name PPS PROVIDENCE FAMILY MEDICINE 5TH & BROWNE
Practice Address 104 W 5th Ave
Suite 390e
Spokane
WA 99204
Mailing Address Po Box 34439
Seattle
WA 98124-1439
Practice Telephone 5093858778
Enumeration Date 2011-06-02
Last Update Date 2011-06-02
Authorized Official Name MR. MICHAEL MALLORY (CRED. SPECIALIST)
Authorized Official Telephone 4255256798
Is Organization Subpart Y
Parent Organization Name PROVIDENCE PHYSICIAN SERVICES CO

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
PPS Providence Family Medicine 5th & Browne Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1740566173 Providence Physician Services Co Internal Medicine 212 Central Ave Suite 440, Spokane, WA 99208 2011-10-31
1295016145 Providence Physician Services Co Family Medicine 801 W. 5th Ave, Suite 307, Spokane, WA 99204 2011-09-06
1619268281 Providence Physician Services Co Family Medicine 100 W. South Ave Chewelah, Chewelah, WA 99109 2011-04-29
1184915829 Providence Physician Services Co Family Medicine 5011 W. Lowell Ave, Seattle, WA 99208-8587 2011-04-28
1578869913 Providence Physician Services Co Family Medicine 12704 E Nora Ave, Ste B, Spokane Valley, WA 99216-1140 2011-02-02
1891001277 Providence Physician Services Co Pediatrics 5901 N Linderwood, Suite 126, Spokane, WA 99207 2010-08-24
1245557917 Providence Physician Services Co Obstetrics & Gynecology 518 Clay Street, Chewelah, WA 99109 2010-04-21
1215223953 Providence Physician Services Co Prosthetic/Orthotic Supplier 101 W 8th Ave, Mother Gamelin Center, 3rd Floor, Spokane, WA 99204-2307 2011-06-21
1053618892 Providence Physician Services Co Internal Medicine 105 W 8th Ave, Ste 550e, Spokane, WA 99204-2302 2011-02-14
1356646202 Providence Physician Services Co Surgery 122 W 7th Ave, Ste 420, Spokane, WA 99204-2349 2011-01-24

Other Data Sources

Entity Type Entity Name Entity Address
Washington State Corporations PROVIDENCE PHYSICIAN SERVICES CO. 1801 Lind Ave Sw, Renton, WA 98057-3368

Office Location

Street Address 104 W 5TH AVE
SUITE 390E
City SPOKANE
State WA
Zip Code 99204

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437157591 Fifth and Browne Pharmacy, Inc. Durable Medical Equipment & Medical Supplies 104 W 5th Ave, Spokane, WA 99204-4880 2005-07-12
1295384923 Meghan Mcfarland Nurse Practitioner 104 W 5th Ave, Spokane, WA 99204-4820 2019-09-05
1255809893 Alisha Christine Sullivan Nurse Practitioner 104 W 5th Ave, Spokane, WA 99204-4820 2018-11-12
1932698107 Spokane Behavioral Health LLC Psychiatric Hospital 104 W 5th Ave, Spokane, WA 99204-4880 2018-05-03
1568974822 Cody Matson Nurse Practitioner 104 W 5th Ave, Spokane, WA 99204-4880 2017-10-26
1679929541 James Emil Fernando Family Medicine 104 W 5th Ave, Ste 200w, Spokane, WA 99204-4880 2016-05-10
1386098853 Alex Michael Heimbigner Student in an Organized Health Care Education/Training Program 104 W 5th Ave, Ste 200w, Spokane, WA 99204-4880 2016-04-20
1558758789 Jennifer Jane Hadlock Student in an Organized Health Care Education/Training Program 104 W 5th Ave, Ste 200w, Spokane, WA 99204-4880 2015-04-26
1629465026 Maya Swaminathan Internal Medicine 104 W 5th Ave, Ste 200w, Spokane, WA 99204 2015-04-23
1598162943 Lisa Reimer Pharmacist 104 W 5th Ave, Suite 112 West, Spokane, WA 99204-4880 2014-12-01
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750916953 Bavihealth Family Medicine 1314 S. Grand Blvd, Ste 2 #142, Spokane, WA 99202-2131 2020-03-08
1407487648 Direct Primary Care Family Medicine 212 E Central Ave Ste 360, Spokane, WA 99208-4502 2020-01-27
1710234190 Mayfield Family Medicine Pllc Family Medicine 5901 N Lidgerwood St Ste 127, Spokane, WA 99208-1122 2012-08-06
1427329762 Charles Robert Wolfe Family Medicine 16320 E Lincoln Rd, Spokane, WA 99217-9571 2012-01-18
1952687386 Providence Phsyician Services Family Medicine 1919 S. Grand Blvd., Spokane, WA 99203 2011-10-31
1295016145 Providence Physician Services Co Family Medicine 801 W. 5th Ave, Suite 307, Spokane, WA 99204 2011-09-06
1548552326 Providence Physician Service Co Family Medicine 1919 S Grand Ave, Pmg Providence Family Medicine South Grand, Spokane, WA 99204 2011-05-11
1104125418 David Raymond O'brien Family Medicine 1907 W Summit Pkwy Apt 306, Spokane, WA 99201-3133 2011-03-25
1144540915 Elizabeth A. Turner, Md Family Medicine 316 W. Boone, Suite 669, Spokane, WA 99201-2354 2010-06-03
1083949374 Opportunity Medical Family Medicine 16201 E. Indiana Ave, Ste 2300, Spokane, WA 99216-2839 2009-10-05
Find all providers in SPOKANE

Competitor

Search similar providers

City SPOKANE
Zip Code 99204

Improve Information

Please comment or provide details below to improve the information on PROVIDENCE PHYSICIAN SERVICES CO.

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.

Trending Searches