PROVIDENCE HEALTH & SERVICES WASHINGTON (NPI# 1699088526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699088526 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HEALTH & SERVICES WASHINGTON |
| Other Organization Name | PROVIDENCE SPOKANE HEART INSTITUTE |
| Practice Address |
910 W 5th Ave Ste 300 Spokane WA 98204-2972 |
| Mailing Address |
Po Box 3776 Seattle WA 98124-3776 |
| Practice Telephone | 5094558820 |
| Practice Fax Number | 5094554150 |
| Mailing Telephone | 5094558820 |
| Mailing Fax Number | 5094554150 |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2012-05-11 |
| Authorized Official Name | TERESA E SPALDING (VP REVENUE CYCLE) |
| Authorized Official Telephone | 4259174180 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Providence Spokane Heart Institute | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134656135 | Providence Health & Services Washington | Clinic/Center | 1018 Capitol Way S Ste 300, Olympia, WA 98501-1212 | 2017-05-22 |
| 1023550050 | Providence Health & Services Washington | Psychologist | 225 State Ave Ne, Olympia, WA 98501-6951 | 2016-11-08 |
| 1003367863 | Providence Health & Services Washington | Radiology | 4800 College St Se Ste E, Lacey, WA 98503-4389 | 2016-10-17 |
| 1023563897 | Providence Health & Services Washington | Clinic/Center | 1705 Se Meadowbrook Blvd, Suite 2, College Place, WA 99324-1756 | 2016-08-22 |
| 1457721250 | Providence Health & Services Washington | Clinic/Center | 1200 Basich Blvd, Aberdeen, WA 98520-1035 | 2015-10-06 |
| 1902141500 | Providence Health & Services Washington | Clinical Medical Laboratory | 820 S Mcclellan St Ste Ll10, Spokane, WA 99204-2446 | 2012-12-07 |
| 1881907715 | Providence Health & Services Washington | Internal Medicine | 62 W 7th Ave, Spokane, WA 99204-2321 | 2010-07-20 |
| 1073744850 | Providence Health & Services Washington | Rehabilitation, Substance Use Disorder Unit | 2505 Olympic Hwy N., Ste 140, Shelton, WA 98584-2978 | 2009-07-28 |
| 1770714693 | Providence Health & Services Washington | Rehabilitation, Substance Use Disorder Unit | 508 1/2 Eighth Street, Hoquiam, WA 98550-3521 | 2009-07-28 |
| 1033309604 | Providence Health & Services Washington | Family Medicine | 1450 Northwest Lane Se, Lacey, WA 98503-6908 | 2007-07-30 |
| Street Address |
910 W 5TH AVE STE 300 |
| City | SPOKANE |
| State | WA |
| Zip Code | 98204-2972 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588663835 | Ted A. Branstetter | Physician Assistant | 910 W 5th Ave, Ste 1000, Spokane, WA 99204-2966 | 2005-07-19 |
| 1053944520 | Dani Michelle Whitmore | Advanced Practice Midwife | 910 W 5th Ave, Spokane, WA 99204-2966 | 2020-02-12 |
| 1205354727 | Abigail Lee Blumenthal | Physician Assistant | 910 W 5th Ave, Spokane, WA 99204-2966 | 2017-09-05 |
| 1396195459 | Rockwood Clinic Ps | Durable Medical Equipment & Medical Supplies | 910 W 5th Ave, Suite 500, Spokane, WA 99204-2966 | 2016-06-20 |
| 1588018592 | Mason Maurice Van Nostrand | Physician Assistant | 910 W 5th Ave, Suite 900, Spokane, WA 99204-2966 | 2016-04-15 |
| 1447621578 | Rockwood Clinic, P.s. | Non-Pharmacy Dispensing Site | 910 W 5th Ave, Suite 700, Spokane, WA 99204-2966 | 2015-10-15 |
| 1255719670 | Daniel Rodgers | Dietitian, Registered | 910 W 5th Ave, Suite 800, Spokane, WA 99204-2966 | 2015-05-18 |
| 1932594587 | Staci Dumerton | Physician Assistant | 910 W 5th Ave, Suite 800, Spokane, WA 99204-2966 | 2015-03-31 |
| 1972922888 | Andrea Jordan | Registered Nurse | 910 W 5th Ave, Suite 102, Spokane, WA 99204-2966 | 2014-04-08 |
| 1093134074 | Megan Marion | Registered Nurse | 910 W 5th Ave, Suite 102, Spokane, WA 99204-2966 | 2014-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588262869 | Samuel Lin, Nd, Pllc | Naturopath | 13410 Hwy 99, Ste 202, Everett, WA 98204 | 2020-10-09 |
| 1003458225 | Svetlana A Gayevskaya | Technician | 12605 E. Gibson Rd. Unit # 87, Everett, WA 98204 | 2019-10-09 |
| 1821555921 | Kymberly Ann Shepherd | Counselor | 1011 128th St Sw, E201, Everett, WA 98204 | 2019-02-25 |
| 1609392653 | Mohammed Bayo | Nurse's Aide | 9217 4th Ave. West, Everett, WA 98204 | 2017-08-21 |
| 1962951582 | Abreham Shoangizaw | Pharmacist | 802 134th S B C, Everett, WA 98204 | 2016-09-23 |
| 1588012694 | Tammy J Laird | Counselor | 9300 Evergreen Way, Everett, WA 98204 | 2016-05-31 |
| 1083011282 | Bernadette K Stanek | Massage Therapist | 13410 Washington 99 #204, Everett, WA 98204 | 2014-12-03 |
| 1356771067 | Dixon Stopper | Hearing Instrument Specialist | 12811 8th Ave W Ste B203, Everett, WA 98204 | 2013-11-15 |
| 1427312495 | Dan Huy Nguyen | Respiratory Therapist, Registered | 1919 112th Street Southwest, Everett, WA 98204 | 2012-06-25 |
| 1942571880 | Alena A Klimenko | Specialist | 12811 8th- Ave W, Suite B-103, Everett, WA 98204 | 2012-01-24 |
| Find all providers in zip 98204 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1780002485 | Kavisha Singh | Internal Medicine | 62 W 7th Ave Ste 450, Spokane, WA 99204-2321 | 2014-04-01 |
| 1881907715 | Providence Health & Services Washington | Internal Medicine | 62 W 7th Ave, Spokane, WA 99204-2321 | 2010-07-20 |
| 1114230042 | Providence Health & Services | Internal Medicine | 318 E Rowan Ave, 240, Spokane, WA 99207-1200 | 2010-07-20 |
| 1740519776 | Marc Albert Dewood | Internal Medicine | 901 N Monroe St, Suite 250, Spokane, WA 99201-2104 | 2009-12-22 |
| 1821231986 | Nathan Emil Spence | Internal Medicine | 122 W 7th Ave Ste 310, Spokane, WA 99204-2352 | 2009-04-19 |
| 1255381109 | Andrew Thomas Coletti | Internal Medicine | 122 W 7th Ave Ste 232, Spokane, WA 99204 | 2006-05-11 |
| 1508815036 | Romeo Anton Pavlic | Internal Medicine | 25 W Nora Ave Ste 220, Spokane, WA 99205-4800 | 2006-05-10 |
| 1649521857 | Cardiovascular Institute II, P.C. | Internal Medicine | 25 W Nora Ave Ste 220, Spokane, WA 99205-4800 | 2012-09-27 |
| 1831483155 | Adam Macarthur Noyes | Internal Medicine | 122 W 7th Ave Ste 310, Spokane, WA 99204 | 2011-06-03 |
| 1942513874 | Providence Health & Services - Washington | Internal Medicine | 212 E Central Ave, Suite 240, Spokane, WA 99208-6289 | 2010-07-20 |
| 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.