INLAND NORTHWEST FAMILY FOOTCARE, PLLC (NPI# 1396117305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396117305 |
| Entity Type | Organization |
| Organization Name | INLAND NORTHWEST FAMILY FOOTCARE, PLLC |
| Practice Address |
1215 N Mcdonald Rd Suite #201 Spokane Valley WA 99216-1557 |
| Practice Telephone | 5099261559 |
| Practice Fax Number | 5099261550 |
| Mailing Telephone | 5099261559 |
| Mailing Fax Number | 5099261550 |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2015-10-29 |
| Authorized Official Name | DR. KIRK MACLENNAN HERRING (CHAIRPERSON) |
| Authorized Official Telephone | 5099261559 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213ES0000X |
Podiatrist Specialization: Sports Medicine |
464 | WA | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
464 | WA | Podiatric Medicine & Surgery Service Providers |
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
464 | WA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1080274 | 05 | |
| WA | RAILROAD MEDICARE | 480012182 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | INLAND NORTHWEST FAMILY FOOTCARE, PLLC | 1215 N Mcdonald Rd Ste 201, Spokane Vly, WA 99216-1557 |
| Street Address |
1215 N MCDONALD RD SUITE #201 |
| City | SPOKANE VALLEY |
| State | WA |
| Zip Code | 99216-1557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306834833 | Alan J Kelly | Internal Medicine | 1215 N Mcdonald Rd, Ste 101, Spokane Valley, WA 99216-1557 | 2005-10-10 |
| 1083169668 | Eric C Ellingsen Dds Ps | Clinic/Center | 1215 N Mcdonald Rd, #203, Spokane Valley, WA 99216-1557 | 2016-08-24 |
| 1881065043 | Eric C Ellingsen Dds Ps | Durable Medical Equipment & Medical Supplies | 1215 N Mcdonald Rd, Suite 203, Spokane Valley, WA 99216-1557 | 2015-10-14 |
| 1457738957 | Kelsey Danielle Barks | Physical Therapist | 1215 N Mcdonald Rd, Suite L2, Spokane Valley, WA 99216-1557 | 2015-05-04 |
| 1952602203 | Shannon R Greenlaw | Physical Therapist | 1215 N Mcdonald Rd, Suite L2, Spokane Valley, WA 99216-1557 | 2010-11-03 |
| 1598078420 | Providence Health & Services | Internal Medicine | 1215 N Mcdonald Rd, 202, Spokane Valley, WA 99216-1557 | 2010-07-20 |
| 1407177918 | Kristina Bowen | Internal Medicine | 1215 N Mcdonald Rd, Ste 101, Spokane Valley, WA 99216-1557 | 2010-06-18 |
| 1942446224 | Thunder Physical Therapy Limited Partnership | Physical Therapist | 1215 N Mcdonald Rd, Suite L2, Spokane Valley, WA 99216-1557 | 2008-12-17 |
| 1477730901 | David W Fischer Jr. | Internal Medicine | 1215 N Mcdonald Rd, Ste 101, Spokane Valley, WA 99216-1557 | 2008-01-28 |
| 1639358435 | Stacey Michelle Adams | Physical Therapist | 1215 N Mcdonald Rd, Suite L2, Spokane Valley, WA 99216-1557 | 2007-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053920124 | Aark Laboratory | Clinical Medical Laboratory | 12709 E Mirabeau Pkwy Bldg A Ste 500, Spokane, WA 99216 | 2020-07-24 |
| 1922622158 | Vera Whole Health Wa, PC | Clinic/Center | 16009 E Indiana Ave, Spokane Valley, WA 99216 | 2020-06-03 |
| 1023654001 | Rebecca Elizabeth Ryan | Massage Therapist | 12505 E 23rd Ave, Spokane Valley, WA 99216 | 2019-11-25 |
| 1356992903 | Creative Communication LLC | Speech-Language Pathologist | 13607 E. Sprague Ave, Spokane Valley, WA 99216 | 2019-09-25 |
| 1972096584 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 15319 E Indiana Ave Ste 2, Spokane Valley, WA 99216 | 2018-06-08 |
| 1356845655 | Rp Operations, LLC | Assisted Living Facility | 13013 E Mission Ave, Spokane Valley, WA 99216 | 2018-03-21 |
| 1174036305 | Talk, Learn and Communicate | Speech-Language Pathologist | 13607 East Spraque Avenue, Spokane Valley, WA 99216 | 2017-11-09 |
| 1134638281 | Vtc Vitality Healthcare | Pain Medicine | 12409 E Mission Ave Ste 102, Spokane Valley, WA 99216 | 2017-09-20 |
| 1285150086 | Robert C Tsay Jr. | Pharmacist | 12415 E 12th Ave, Apt 110, Spokane Valley, WA 99216 | 2017-08-15 |
| 1629505607 | Spokane Valley Medical, Inc | Durable Medical Equipment & Medical Supplies | 12509 E. Mission Ave, Suite #103, Spokane, WA 99216 | 2017-05-22 |
| Find all providers in zip 99216 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649708819 | Theresa H.t. Nguyen Pllc | Podiatrist | 17530 Ne Union Hill Rd Ste 110, Redmond, WA 98052-3340 | 2017-05-31 |
| 1366749095 | Rapha Clinics, Inc | Podiatrist | 1130 N 185th St Ste 202, Shoreline, WA 98133-4011 | 2011-02-15 |
| 1568673895 | Victoria Kovacs Penfield | Podiatrist | 15717 136th Avenue Ct E, Puyallup, WA 98374-9688 | 2007-05-25 |
| 1922122811 | Randall S. Fisher | Podiatrist | 8610 Eastview Ave, Everett, WA 98208-3516 | 2007-03-18 |
| 1689732588 | Hugh James Gorey Jr. | Podiatrist | 12001 Pacific Ave S., #204, Tacoma, WA 98444-5101 | 2006-12-04 |
| 1134154032 | Stephen Haggard | Podiatrist | 210 27th Ave Apt F105, Milton, WA 98354-8330 | 2006-07-11 |
| 1265470678 | Broadway Foot & Ankle Ps | Podiatrist | 6625 W Crest View Loop Se, Snoqualmie, WA 98065-8912 | 2006-06-04 |
| 1063493559 | Randolph Charles Fish | Podiatrist | 915 So. 76th St., Tacoma, WA 98408-2902 | 2005-11-10 |
| 1982694501 | Michael Aziz Mishalanie | Podiatrist | 401 S 43rd St, Suite 110, Renton, WA 98055-5404 | 2005-10-25 |
| 1942206891 | Brent Barker | Podiatrist | 18007 Ne 26th St, Vancouver, WA 98684-0735 | 2005-06-24 |
| Find all providers with the same taxonomy | ||||
| City | SPOKANE VALLEY |
| Zip Code | 99216 |
Please comment or provide details below to improve the information on INLAND NORTHWEST FAMILY FOOTCARE, PLLC.
| 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.