WILLIAM M. BOMBERGER (NPI# 1639194079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639194079 |
| Entity Type | Individual |
| Full Name | WILLIAM M. BOMBERGER |
| Credential | PA-C |
| Practice Address |
1001 W 2nd Ave Spokane WA 99201-4503 |
| Mailing Address |
203 N Washington St Suite 300 Spokane WA 99201-0233 |
| Practice Telephone | 5098351205 |
| Practice Fax Number | 5098351208 |
| Mailing Telephone | 5094448888 |
| Mailing Fax Number | 5094447806 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2011-08-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA10004622 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8427098 | 05 |
| Street Address |
1001 W 2ND AVE |
| City | SPOKANE |
| State | WA |
| Zip Code | 99201-4503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982690780 | Rusty A Reese | Dentist | 1001 W 2nd Ave, Spokane, WA 99201-4503 | 2005-09-27 |
| 1962032250 | Hesham Ramah S Sagayer | Dentist | 1001 W 2nd Ave, Spokane, WA 99201-4503 | 2020-01-25 |
| 1750911293 | Anya Krmpotich Corcoran | Physician Assistant | 1001 W 2nd Ave, Spokane, WA 99201-4503 | 2020-01-23 |
| 1386283653 | Kristina Hivrenko | Dental Hygienist | 1001 W 2nd Ave, Spokane, WA 99201-4503 | 2020-01-03 |
| 1629617030 | Hailey Marie Heilman | Registered Nurse | 1001 W 2nd Ave, Spokane, WA 99201-4503 | 2020-01-02 |
| 1174166557 | Community Health Association of Spokane | Pharmacy | 1001 W 2nd Ave, Spokane, WA 99201-4503 | 2019-10-18 |
| 1316502263 | Emily Louise Orth | Dentist | 1001 W 2nd Ave, Spokane, WA 99201-4503 | 2019-05-07 |
| 1932687076 | Danielle Elaine Halverson | Dentist | 1001 W 2nd Ave, Spokane, WA 99201-4503 | 2018-07-31 |
| 1235615105 | Nicole Leeann Jacobson | Dentist | 1001 W 2nd Ave, Spokane, WA 99201-4503 | 2018-07-13 |
| 1104311851 | Jae Heung Ha | Dentist | 1001 W 2nd Ave, Spokane, WA 99201-4503 | 2018-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517952 | Maria Escobedo | Counselor | 1321 N. Ash, Spokane, WA 99201 | 2020-10-29 |
| 1619576774 | Bethany Heath Arnp-pmhnp Pllc | Nurse Practitioner | 1224 West Riverside, Apt 408, Spokane, WA 99201 | 2020-10-20 |
| 1811594658 | Kaaren Goeller-bloom | Counselor | 106 West Mission, Spokane, WA 99201 | 2020-10-05 |
| 1649732793 | Marsha Rose Valenzuela | Peer Specialist | Partners With Families and Children, 1321 W. Broadway, Spokane, WA 99201 | 2019-04-05 |
| 1770047896 | Rachel Nicole Burns | Counselor | 1321 W. Broadway Ave, Spokane, WA 99201 | 2019-01-23 |
| 1760953384 | Nicole Renee Breesnee | Counselor | 2308 W. 3rd Ave, Spokane, WA 99201 | 2018-12-07 |
| 1083184675 | Alicia L Paschall | Counselor | 222 S Howard St, Apt 310, Spokane, WA 99201 | 2018-11-27 |
| 1003383159 | Sandra Kay Robinson | Counselor | New Horizons Care Centers, Inc., 701 E 3rd Street, Spokane, WA 99201 | 2018-10-26 |
| 1801361191 | Michael Joseph Lehman | Naturopath | 316 W Boone Ave Ste 777, Spokane, WA 99201 | 2018-10-12 |
| 1316422454 | Cmdpn Medical Group of Washington, P.C. | Emergency Medicine | 707 West Main Ave. Ste B1, Pmb 117, Spokane, WA 99201 | 2018-09-25 |
| Find all providers in zip 99201 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104273648 | Grant Bursell | Physician Assistant | 5316 E Sumac Ln, Spokane, WA 99223-5090 | 2016-05-14 |
| 1881093904 | Jacob Gott | Physician Assistant | 122 W 7th Ave Ste 420, Spokane, WA 99204-2330 | 2014-08-14 |
| 1235215856 | Kurt D Fullmer | Physician Assistant | 406 E Rowan Ave, Suite200, Spokane, WA 99207-1243 | 2006-10-27 |
| 1689782740 | Lori Tschetter | Physician Assistant | 42 E Rowan Ave Ste A, Spokane, WA 99207-1212 | 2006-08-29 |
| 1316973498 | Daniel Ray Keele | Physician Assistant | 4815nwassembly, Spokane, WA 99205 | 2006-06-23 |
| 1386606093 | Kathleen Elizabeth Moudy | Physician Assistant | 9911 N Nevada St, Spokane, WA 99218-1298 | 2006-04-06 |
| 1750359154 | Terri J Roark | Physician Assistant | 911 W 5th Avenue, Spokane, WA 99204 | 2006-03-10 |
| 1942289392 | Mara Lea Geffken | Physician Assistant | 605 E Holland, Suite 218, Spokane, WA 99218-1246 | 2006-01-13 |
| 1285611665 | Amy M Gregg | Physician Assistant | 105 W 8th, Spokane, WA 99204-2304 | 2005-12-28 |
| 1215913850 | Marc A. Hawkins | Physician Assistant | 310 N Riverpoint Blvd Health Science Bldg #280-j, University of Washington Medex Nw Pa Program, Spokane, WA 99202 | 2005-12-15 |
| 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.