LEO EUGENE OBERMILLER JR. (NPI# 1528159316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528159316 |
| Entity Type | Individual |
| Full Name | LEO EUGENE OBERMILLER JR. |
| Credential | MD |
| Practice Address |
105 W 8th Ave Ste 1000 Spokane WA 99204-2327 |
| Mailing Address |
101 W 8th Ave Mother Gamelin Bldg, 3rd Floor, Room 207305 Spokane WA 99204-2307 |
| Practice Telephone | 5094744500 |
| Practice Fax Number | 5094744487 |
| Mailing Telephone | 5094746842 |
| Mailing Fax Number | 5094746606 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2018-11-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
M5092 | ID | Allopathic & Osteopathic Physicians |
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
MD00019462 | WA | Allopathic & Osteopathic Physicians |
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
025209 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 805903500 | 05 | |
| WA | 8111304 | 05 | |
| REGENCE BLUE SHIELD OF ID | 000010000219 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 122 W 7th Ave Ste 232, Spokane, WA 992042354 | 5094742041 | 5094744906 |
| Street Address |
105 W 8TH AVE STE 1000 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99204-2327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992892772 | Saed S. Nemr | Internal Medicine | 105 W 8th Ave Ste 1000, Spokane, WA 99204-2327 | 2006-10-05 |
| 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 | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760484588 | Robert G. Benedetti | Internal Medicine | 610 S Sherman St, Suite 201, Spokane, WA 99202-1359 | 2005-08-11 |
| 1285901843 | Providence Physician Services | Internal Medicine | 105 W 8th Ave, Suite 7040, Spokane, WA 99204-2302 | 2011-11-28 |
| 1124266184 | Nelio Guzman Aguayo | Internal Medicine | 105 W 8th Ave, Suite 7060, Spokane, WA 99204-2302 | 2009-01-29 |
| 1659524924 | Mark Anthony Castro Cabrera | Internal Medicine | 400 E 5th Ave, Spokane, WA 99202-1334 | 2008-10-29 |
| 1902056583 | Wa-spok Kidney Care LLC | Internal Medicine | 801 West Fifth Ave, Suite 509, Spokane, WA 99204-2841 | 2008-09-19 |
| 1487813374 | Kidney Care Spokane, P.s. | Internal Medicine | 801 W 5th Ave, Suite 509, Spokane, WA 99204-2823 | 2008-06-05 |
| 1932391547 | Vijayakumar K Reddy | Internal Medicine | 105 W 8th Ave, Suite 7060, Spokane, WA 99204-2302 | 2007-08-16 |
| 1942414123 | Ravi Kalyamaraman Aiyer | Internal Medicine | 105 W 8th Ave, Suite 7060, Spokane, WA 99204-2302 | 2007-05-09 |
| 1750458329 | Mary Ann K Arndt | Internal Medicine | 105 W 8th Ave, Suite 7060, Spokane, WA 99204-2302 | 2006-11-29 |
| 1780778746 | Krishna M. Malireddi | Internal Medicine | 105 W 8th Ave, Suite 7060, Spokane, WA 99204-2302 | 2006-10-03 |
| Find all providers in SPOKANE | ||||
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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.