SPOKANE SPINE CENTER PC (NPI# 1518167923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518167923 |
| Entity Type | Organization |
| Organization Name | SPOKANE SPINE CENTER PC |
| Other Organization Name | SPOKANE SPINE CENTER |
| Practice Address |
124 E Rowan Ave Suite 202 Spokane WA 99207-1214 |
| Practice Telephone | 5094876222 |
| Practice Fax Number | 5094876333 |
| Mailing Telephone | 5094876222 |
| Mailing Fax Number | 5094876333 |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2020-05-15 |
| Authorized Official Name | DR. ROBERT G HADDAD (CHIROPRACTOR/BUSINESS OWNER) |
| Authorized Official Telephone | 5094876222 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Spokane Spine Center | Doing Business As Name - Organization |
| Street Address |
124 E ROWAN AVE SUITE 202 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99207-1214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518063312 | Robert G Haddad | Chiropractor | 124 E Rowan Ave, Suite 202, Spokane, WA 99207-1214 | 2006-09-16 |
| 1770948275 | Theresa Kretschmar | Massage Therapist | 124 E Rowan Ave, Ste. 202, Spokane, WA 99207-1214 | 2015-12-28 |
| 1437585304 | Suzanna Brooke Doan | Massage Therapist | 124 E Rowan Ave, Suite 202, Spokane, WA 99207-1214 | 2013-09-23 |
| 1902059645 | Deborah Walton Smith | Nurse Practitioner | 124 E Rowan Ave, Suite 102, Spokane, WA 99207-1214 | 2008-10-28 |
| 1245405224 | Therasport Northwest, Inc | Physical Therapist | 124 E Rowan Ave, Suite 202, Spokane, WA 99207-1214 | 2008-04-29 |
| 1104041458 | Dean David Evans Jr. | Physical Therapist | 124 E Rowan Ave, Suite 202, Spokane, WA 99207-1214 | 2007-04-13 |
| 1871665182 | Kenneth Lyle Koch | Optometrist | 124 E Rowan Ave, Suite 101, Spokane, WA 99207-1214 | 2006-11-14 |
| 1356412605 | Bradley G Gruver & Kenneth L Koch Ptrs | Optometrist | 124 E Rowan Ave, Suite 101, Spokane, WA 99207-1214 | 2006-11-10 |
| 1396828950 | Bradley Gene Gruver | Optometrist | 124 E Rowan Ave, Suite 101, Spokane, WA 99207-1214 | 2006-10-24 |
| 1679663090 | Matthew Allan Jones | Optometrist | 124 E Rowan Ave, Ste 101, Spokane, WA 99207-1214 | 2006-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437669231 | Rebecca Althouse | Massage Therapist | 59 E. Queen Ave. Suite 104, Spokane, WA 99207 | 2017-10-05 |
| 1891142105 | Kathleen Annette Love | Counselor | 2702 N. Perry, Spokane, WA 99207 | 2016-05-17 |
| 1184094831 | Rachel Robles | Massage Therapist | 514 E. Providence Ave, Spokane, WA 99207 | 2015-10-06 |
| 1114345022 | Lindsay Urso | Physician Assistant | 4001 N. Cook St, Riverstone Family Health, Spokane, WA 99207 | 2014-03-29 |
| 1780936930 | Amber Elizabeth Riemersma | Midwife | 127 E Eculid, Spokane, WA 99207 | 2012-10-12 |
| 1376816108 | Michelle Christine Rees | Massage Therapist | 1504 E. Everett, Spokane, WA 99207 | 2012-02-09 |
| 1750658241 | Zita Lindell Nickeson | Counselor | 4407 N. Division Suite 304, Spokane, WA 99207 | 2011-11-28 |
| 1912282989 | Carolyn C Millen | Pharmacist | 12 E. Empire Ave, Spokane, WA 99207 | 2011-10-20 |
| 1316222730 | Brooke Pickering | Pharmacist | 12 E Empire, Spokane, WA 99207 | 2011-10-17 |
| 1891001277 | Providence Physician Services Co | Pediatrics | 5901 N Linderwood, Suite 126, Spokane, WA 99207 | 2010-08-24 |
| Find all providers in zip 99207 | ||||
| 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 |
| 1073720538 | Columbia Medical Associates, LLC | Clinic/Center | 1003 E Trent Ave, Suite 150, Spokane, WA 99202-2180 | 2007-05-16 |
| 1336186105 | Physicians Clinic of Spokane Ps | Clinic/Center | 820 S Mcclellan, #ll10, Spokane, WA 99204 | 2006-06-01 |
| 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 |
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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.