PALOUSE SPECIALTY PHYSICIANS, P.S. (NPI# 1407499445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407499445 |
| Entity Type | Organization |
| Organization Name | PALOUSE SPECIALTY PHYSICIANS, P.S. |
| Other Organization Name | PALOUSE NEUROLOGY |
| Practice Address |
2400 W A St Ste G Moscow ID 83843-4902 |
| Mailing Address |
Po Box 847 Pullman WA 99163-0847 |
| Practice Telephone | 2088137519 |
| Mailing Telephone | 5093305607 |
| Mailing Fax Number | 5093346477 |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2019-10-23 |
| Authorized Official Name | MR. SCOTT ADAMS (CEO) |
| Authorized Official Telephone | 5093322541 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0008X |
Psychiatry & Neurology Specialization: Neuromuscular Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Palouse Neurology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760889265 | Palouse Specialty Physicians, P.s. | Psychiatry & Neurology | 825 Se Bishop Blvd, Suite 601, Pullman, WA 99163-5517 | 2014-11-26 |
| 1548667421 | Palouse Specialty Physicians, P.s. | Otolaryngology | 825 Se Bishop Blvd, Suite 501, Pullman, WA 99163-5517 | 2014-11-20 |
| Street Address |
2400 W A ST STE G |
| City | MOSCOW |
| State | ID |
| Zip Code | 83843-4902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726880 | Moscow Physical Therapy, LLC | Clinic/Center | 1174 Alturas Drive, Suite 2, Moscow, ID 83843 | 2020-09-25 |
| 1831703057 | Hydee Flishaw Tubbs Becker | Dietitian, Registered | 614 North Hayes Street, Moscow, ID 83843 | 2020-09-04 |
| 1528626959 | Ryan Steven Clark | Student in an Organized Health Care Education/Training Program | 212 Farm Road, #201, Moscow, ID 83843 | 2019-05-31 |
| 1770141384 | Lingwen Zhang | Specialist/Technologist | 901 Paradise Creek Rd, Moscow, ID 83843 | 2019-05-30 |
| 1306363478 | Elizabeth Campbell | Dietitian, Registered | 611 S. Main, Moscow, ID 83843 | 2017-08-29 |
| 1598285496 | Gina Cretser | Counselor | 212 Rodeo Dr. #410, Moscow, ID 83843 | 2017-06-21 |
| 1124558721 | Morgan Leigh Derloshon | Specialist/Technologist | 275 Southview Ave, Apt 206, Moscow, ID 83843 | 2017-06-15 |
| 1619411790 | Kaylene Howard | Massage Therapist | 127 South Washington, Suite 6, Moscow, ID 83843 | 2016-12-08 |
| 1407237043 | Jacob Kent Christensen | Family Medicine | 831 S Ash St, Moscow, ID 83843 | 2015-06-09 |
| 1366851388 | Elisabeth Henry | Pharmacist | 2740 West Pullman Rd, Moscow, ID 83843 | 2014-08-04 |
| Find all providers in zip 83843 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922449453 | Sarita Said Said | Psychiatry & Neurology | 2400 W A St, Moscow, ID 83843-4902 | 2013-07-12 |
| 1932412103 | Palouse-clearwater Neurology, P.a. | Psychiatry & Neurology | 619 S Washington St, Suite 201, Moscow, ID 83843-3090 | 2010-07-16 |
| 1831290949 | Barbara D Morgan | Psychiatry & Neurology | 619 S Washington, Suite 201, Moscow, ID 83843 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508286188 | Nina Sienna Bozinov | Psychiatry & Neurology | 700 W Ironwood Dr Ste 158, Coeur D Alene, ID 83814-4404 | 2014-04-22 |
| 1386903359 | Daniel B Simmons | Psychiatry & Neurology | 1072 N Liberty St Ste 303, Boise, ID 83704 | 2012-05-11 |
| 1053678342 | Daniel Clark Abenroth | Psychiatry & Neurology | 9th Floor -- Neurosciences, 190 E Bannock St., Boise, ID 83712-8905 | 2012-04-12 |
| 1427294545 | Thomas E Henson | Psychiatry & Neurology | 3183 S Temperance Way, Boise, ID 83706-5703 | 2008-12-18 |
| 1235381948 | Karin Lindholm, D.o. | Psychiatry & Neurology | 901 N Curtis Rd Ste 403, Boise, ID 83706-1342 | 2008-10-14 |
| 1548452683 | Sergei V Kashirny | Psychiatry & Neurology | 125 E Idaho St Ste 300, Neurology, Boise, ID 83712-6256 | 2007-08-13 |
| 1316090426 | Affiliated Neurologists Pllc | Psychiatry & Neurology | 338 6th St, Suite 102, Lewiston, ID 83501-2419 | 2007-01-19 |
| 1578667739 | Mary Elizabeth Gerard | Psychiatry & Neurology | 333 N 18th Ave Ste B4, Pocatello, ID 83201 | 2006-09-11 |
| 1437252723 | Eastern Idaho Neurological Associates Pa | Psychiatry & Neurology | 2353 Coronado Drive, Idaho Falls, ID 83404 | 2006-09-05 |
| 1043249964 | Martha A Cline | Psychiatry & Neurology | 3875 E Overland Road, Meridian, ID 83642 | 2006-07-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PALOUSE SPECIALTY PHYSICIANS, P.S..
| 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.