LUIS EDUARDO RENDON CANTU (NPI# 1427459759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427459759 |
| Entity Type | Individual |
| Full Name | LUIS EDUARDO RENDON CANTU |
| Credential | M.D. |
| Practice Address |
101 W 8th Ave Ste 4200 Spokane WA 99204-2307 |
| Mailing Address |
Po Box 421 Liberty Lake WA 99019-0421 |
| Practice Telephone | 5094745440 |
| Practice Fax Number | 5092277070 |
| Mailing Telephone | 8667472455 |
| Mailing Fax Number | 5092277070 |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2019-07-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | MD60920743 | WA | Allopathic & Osteopathic Physicians |
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
MD60920743 | WA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 112 Columbia Point Dr Ste 103, Richland, WA 993524390 | 5094745440 | 5092277070 |
| Street Address |
101 W 8TH AVE STE 4200 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99204-2307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154353118 | Marni A Allen | Nurse Practitioner | 101 W 8th Ave Ste 4200, Spokane, WA 99204 | 2006-07-07 |
| 1336568484 | Michael Edward Haws | Psychiatry & Neurology | 101 W 8th Ave Ste 4200, Spokane, WA 99204 | 2014-04-15 |
| 1164796850 | Bridget Thompson | Pediatrics | 101 W 8th Ave Ste 4200, Spokane, WA 99204-2307 | 2012-02-28 |
| 1629360144 | Christopher Patrick Brown | Psychiatry & Neurology | 101 W 8th Ave Ste 4200, Spokane, WA 99204-2307 | 2011-05-03 |
| 1538335252 | Wendy Lee Eastman | Pediatrics | 101 W 8th Ave Ste 4200, Spokane, WA 99204-2307 | 2008-05-02 |
| 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 | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336568484 | Michael Edward Haws | Psychiatry & Neurology | 101 W 8th Ave Ste 4200, Spokane, WA 99204 | 2014-04-15 |
| 1629360144 | Christopher Patrick Brown | Psychiatry & Neurology | 101 W 8th Ave Ste 4200, Spokane, WA 99204-2307 | 2011-05-03 |
| 1619294378 | Providence Physician Services Co | Psychiatry & Neurology | 101 W 8th Ave, Spokane, WA 99204-2307 | 2010-04-21 |
| 1508890872 | Gregory P Macdonald | Psychiatry & Neurology | 101 W 8th Ave, Ste 4200, Spokane, WA 99204-2307 | 2006-07-10 |
| 1528009164 | James Douglas Reggin | Psychiatry & Neurology | 101 W 8th Ave, Ste 4200, Spokane, WA 99204-2307 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174934608 | Timothy Richard Gall | Psychiatry & Neurology | 9040 Jackson Ave Neurology, Tacoma, WA 98431-0001 | 2014-05-19 |
| 1346516168 | Juliane Gust | Psychiatry & Neurology | 4800 Sand Point Way Ne # 7.420, Seattle, WA 98105-3901 | 2012-03-27 |
| 1700192044 | Ilene Sue Ruhoy | Psychiatry & Neurology | 2900 Ne Blakeley St, Suite C, Seattle, WA 98105-3100 | 2010-08-24 |
| 1538362744 | Stephen Tolman Glass | Psychiatry & Neurology | 19515 North Creek Parkway, Suite 308, Bothell, WA 98011 | 2007-06-06 |
| 1124102843 | Brien W. Vlcek | Psychiatry & Neurology | 801 Broadway Ste 711, Seattle, WA 98122-4328 | 2006-10-25 |
| 1346353042 | Daniel W. Stowens | Psychiatry & Neurology | 750 Swift Blvd Ste 15, Richland, WA 99352-3521 | 2006-08-16 |
| 1962453472 | Catherine M Amlie Lefond | Psychiatry & Neurology | Seattle Children's Hospital, 4800 Sand Point Way Ne, Seattle, WA 98105 | 2006-05-12 |
| 1487072765 | Alicia Fernanda Henriquez | Psychiatry & Neurology | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2014-04-02 |
| 1205270618 | Carey Lockhart | Psychiatry & Neurology | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2013-04-29 |
| 1790043396 | Aimee Aoi Sato | Psychiatry & Neurology | 4800 Sand Point Way Ne, Seattle, WA 98105 | 2012-05-02 |
| 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.