SPOKANE UROLOGY, P.S.


Address: 1414 N Houk Rd, Suite 203, Spokane Valley, WA 99216-1097
Phone: 5099241040

SPOKANE UROLOGY, P.S. (NPI# 1699967455) 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) 1699967455
Entity Type Organization
Organization Name SPOKANE UROLOGY, P.S.
Practice Address 1414 N Houk Rd
Suite 203
Spokane Valley
WA 99216-1097
Mailing Address 801 W 5th Ave
Suite 518
Spokane
WA 99204-2823
Practice Telephone 5099241040
Practice Fax Number 5099223121
Mailing Telephone 5097473147
Mailing Fax Number 5097470020
Enumeration Date 2007-08-15
Last Update Date 2007-08-20
Authorized Official Name DR. DAVID J MIKKELSEN (PRESIDENT)
Authorized Official Telephone 5097473147
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WA 7838907 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1467645820 Spokane Urology, P.s. Urology 235 E Rowan Ave, Suite 202, Spokane, WA 99207-1240 2007-08-20
1801088661 Spokane Urology, P.s. Urology 235 E Rowan Ave, Suite 202, Spokane, WA 99207-1240 2007-08-15
1912015439 Spokane Urology, P.s. Durable Medical Equipment & Medical Supplies 1401 E Trent Ave Ste 200, Spokane, WA 99202-2902 2006-08-25

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities SPOKANE UROLOGY, P.S. 1401 E Trent Ave Ste 200, Spokane, WA 99202-2902
Washington State Corporations SPOKANE UROLOGY, P.S. 1401 E Trent Ave Ste 200, Spokane, WA 99202

Office Location

Street Address 1414 N HOUK RD
SUITE 203
City SPOKANE VALLEY
State WA
Zip Code 99216-1097

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508834565 Scott W Nye Surgery 1414 N Houk Rd, Ste 104, Spokane Valley, WA 99216-1097 2006-03-08
1194180810 Kacey Hoob Specialist/Technologist 1414 N Houk Rd, Suite 200, Spokane Valley, WA 99216-1097 2015-12-22
1992184360 John Mueller Specialist/Technologist 1414 N Houk Rd, Suite 208, Spokane Valley, WA 99216-1097 2015-05-19
1801295506 Rockwood Clinic Ps Durable Medical Equipment & Medical Supplies 1414 N Houk Rd, Suite 101, Spokane Valley, WA 99216-1097 2014-08-19
1447480579 Casey David Claypool Optometrist 1414 N Houk Rd, Suite 103, Spokane Valley, WA 99216 2009-07-23
1023253515 Rockwood Valley Surgery Center Clinic/Center 1414 N Houk Rd, Suite 204, Spokane Valley, WA 99216-1097 2008-12-11
1578778833 Laser Vision Centers, Inc. Clinic/Center 1414 N Houk Rd, Ste. 100, Spokane Valley, WA 99216-1097 2007-05-11
1952522328 Cynthia Brody Massage Therapist 1414 N Houk Rd, Suite 101, Spokane Valley, WA 99216-1097 2007-05-01
1609965680 Ellen E Kraus Schaeffer Nurse Anesthetist, Certified Registered 1414 N Houk Rd, Suite 204, Spokane Valley, WA 99216-1097 2006-10-11
1205939709 Empire Eye Physicians Ps Ophthalmology 1414 N Houk Rd, Suite 103, Spokane Valley, WA 99216-1097 2006-09-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053920124 Aark Laboratory Clinical Medical Laboratory 12709 E Mirabeau Pkwy Bldg A Ste 500, Spokane, WA 99216 2020-07-24
1922622158 Vera Whole Health Wa, PC Clinic/Center 16009 E Indiana Ave, Spokane Valley, WA 99216 2020-06-03
1023654001 Rebecca Elizabeth Ryan Massage Therapist 12505 E 23rd Ave, Spokane Valley, WA 99216 2019-11-25
1356992903 Creative Communication LLC Speech-Language Pathologist 13607 E. Sprague Ave, Spokane Valley, WA 99216 2019-09-25
1972096584 Eyemart Express LLC Eyewear Supplier (Equipment, not the service) 15319 E Indiana Ave Ste 2, Spokane Valley, WA 99216 2018-06-08
1356845655 Rp Operations, LLC Assisted Living Facility 13013 E Mission Ave, Spokane Valley, WA 99216 2018-03-21
1174036305 Talk, Learn and Communicate Speech-Language Pathologist 13607 East Spraque Avenue, Spokane Valley, WA 99216 2017-11-09
1134638281 Vtc Vitality Healthcare Pain Medicine 12409 E Mission Ave Ste 102, Spokane Valley, WA 99216 2017-09-20
1285150086 Robert C Tsay Jr. Pharmacist 12415 E 12th Ave, Apt 110, Spokane Valley, WA 99216 2017-08-15
1629505607 Spokane Valley Medical, Inc Durable Medical Equipment & Medical Supplies 12509 E. Mission Ave, Suite #103, Spokane, WA 99216 2017-05-22
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Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1295371532 Jeffrey Allen Zhan Urology Good Samaritan Medical Office Bldg 1450 5th St Se, Suite 2100- Urology Clinic, Puyallup, WA 98372 2019-11-21
1023400041 Pacific Northwest Urology Specialists, Pllc Urology 4545 Cordata Pkwy Ste 1a, Bellingham, WA 98226-7264 2015-02-27
1598182818 Boston Medical Group- Washington, P.C. Urology 12301 N.e. 10th Place, Suite 101, Bellevue, WA 98005 2014-03-25
1033552823 Carol Collins Urology 272 Health Sciences, 1959 Ne Pacific St, Seattle, WA 98195-7610 2013-04-10
1740523158 Kacey Helena Provenzano Urology 780 Swift Blvd Ste 201, Richland, WA 99352 2013-04-03
1023366283 William P Griggs Urology 2160 Dellesta Dr, Bellingham, WA 98226-7850 2012-08-20
1710242714 Ralph Vernon Stagner Urology 3414 Horsehead Bay Dr. N.w., Gig Harbor, WA 98335 2012-07-06
1043579980 Richard Kenneth Ohme Urology 3108 E Bay Dr Nw, Gig Harbor, WA 98335-7610 2012-05-13
1730447731 Daniel Christian Sackman Urology 3124 South 19th St #c320, Tacoma, WA 98405-3011 2012-04-26
1144595299 Philip Clark May Urology 11911 Ne 132nd St Ste 200, Kirkland, WA 98034 2012-03-21
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Competitor

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City SPOKANE VALLEY
Zip Code 99216

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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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