SPOKANE DIGESTIVE DISEASE CENTER, P.S. (NPI# 1588797807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588797807 |
Entity Type | Organization |
Organization Name | SPOKANE DIGESTIVE DISEASE CENTER, P.S. |
Other Organization Name | SOUTH ASC |
Practice Address |
105 W 8th Ave Suite 6010 Spokane WA 99204-2302 |
Practice Telephone | 5098385950 |
Practice Fax Number | 5098385961 |
Mailing Telephone | 5098385950 |
Mailing Fax Number | 5098385961 |
Enumeration Date | 2007-03-14 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MRS. DOREENE A MOTT (OFFICE MANAGER) |
Authorized Official Telephone | 5098385950 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
FX00055904 | WA | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
South ASC | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992962237 | Spokane Digestive Disease Center, P.s. | Spec/Tech, Pathology | 6825 216th St Sw, Suite G, Lynnwood, WA 98036-7379 | 2008-05-22 |
1699808873 | Spokane Digestive Disease Center, P.s. | Internal Medicine | 105 W 8th Ave, Suite 6010, Spokane, WA 99204-2302 | 2007-03-14 |
1588719561 | Spokane Digestive Disease Center, P.s. | Internal Medicine | 105 W 8th Ave, Suite 6010, Spokane, WA 99204-2341 | 2007-01-23 |
Street Address |
105 W 8TH AVE SUITE 6010 |
City | SPOKANE |
State | WA |
Zip Code | 99204-2302 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972506814 | Jennifer Kay Pary | Psychiatry & Neurology | 105 W 8th Ave, Suite 318c, Spokane, WA 99204-2302 | 2005-05-24 |
1285191346 | Lauren A Earthman | Physician Assistant | 105 W 8th Ave, Spokane, WA 99204-2302 | 2019-02-25 |
1285104885 | Jonathan Carmen Panetta | Nurse Practitioner | 105 W 8th Ave, Spokane, WA 99204-2302 | 2018-11-27 |
1821516949 | Hayden Ingram | Pharmacist | 105 W 8th Ave, Spokane, WA 99204-2302 | 2017-09-08 |
1326573031 | Charlotte Lynch | Advanced Practice Midwife | 105 W 8th Ave, Suite 6020, Spokane, WA 99204-2302 | 2017-05-01 |
1336698703 | Jocelyn Diana Christianson | Counselor | 105 W 8th Ave, Suite 332, Spokane, WA 99204-2302 | 2016-09-27 |
1972057172 | Ashlee Nicole Bradshaw | Counselor | 105 W 8th Ave, Suite 332, Spokane, WA 99204-2302 | 2016-08-05 |
1720439045 | Kristin Martin | Nurse Practitioner | 105 W 8th Ave, Suite 200, Spokane, WA 99204-2302 | 2016-06-28 |
1871940809 | Elizabeth Killian | Counselor | 105 W 8th Ave, Ste.332, Spokane, WA 99204-2302 | 2016-05-19 |
1962860981 | Mahshid Aghasadeghi | Registered Nurse | 105 W 8th Ave, Suite 6020, Spokane, WA 99204-2302 | 2016-02-04 |
Find all providers in the same location |
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 | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023507183 | South Perry Endoscopy Pllc | Clinic/Center | 907 S Perry St Ste 260, Spokane, WA 99202-3462 | 2018-05-04 |
1730687179 | Multicare Health System | Clinic/Center | 842 S Cowley St Ste 3, Spokane, WA 99202-1234 | 2018-01-31 |
1871929646 | Northwest Eyelid and Orbital Specialists Ps | Clinic/Center | 626 S Sheridan St, Spokane, WA 99202-1325 | 2013-09-24 |
1912252693 | Rockwood Clinic Ps | Clinic/Center | 842 S Cowley St, Suite 3, Spokane, WA 99202-1234 | 2012-07-18 |
1417237512 | Wilson, Allen and Associates | Clinic/Center | 3143 E 29th Ave, Spokane, WA 99223-4815 | 2011-08-19 |
1407064082 | Office Anesthesia & Dental Surgery | Clinic/Center | 3143 E 29th Ave, Spokane, WA 99223-4815 | 2007-05-18 |
1033242193 | Spokane Digestive Disease Center | Clinic/Center | 46 E Rowan Ave, Spokane, WA 99207-1232 | 2007-03-14 |
1982745568 | Northwest Surgery Center, Inc | Clinic/Center | 123 W Francis Ave, Spokane, WA 99205-6348 | 2007-02-08 |
1477617751 | Columbia Surgical Specialists, Ps | Clinic/Center | 217 W Cataldo, Spokane, WA 99201 | 2006-12-20 |
1083780662 | Plastic Surgicentre, Inc | Clinic/Center | 535 S Pine St, Spokane, WA 99202-1347 | 2006-11-27 |
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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.