SPOKANE DIGESTIVE DISEASE CENTER, P.S.


Address: 105 W 8th Ave, Suite 6010, Spokane, WA 99204-2302
Phone: 5098385950

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
FX00055904 WA Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
South ASC Other Name - Individual/Organization

Other Provider IDs and Locations

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

Office Location

Street Address 105 W 8TH AVE
SUITE 6010
City SPOKANE
State WA
Zip Code 99204-2302

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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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Competitor

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City SPOKANE
Zip Code 99204

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Dataset Information

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.

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