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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 7838907 | 05 |
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 |
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 |
Street Address |
1414 N HOUK RD SUITE 203 |
City | SPOKANE VALLEY |
State | WA |
Zip Code | 99216-1097 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 99216 |
Taxonomy Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
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. |
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 |
Find all providers with the same taxonomy |
City | SPOKANE VALLEY |
Zip Code | 99216 |
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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.