DR. PAVEL CONOVALCIUC (NPI# 1720017080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720017080 |
| Entity Type | Individual |
| Full Name | DR. PAVEL CONOVALCIUC |
| Credential | MD |
| Practice Address |
1502 N Vercler Rd Spokane Valley WA 99216-1078 |
| Mailing Address |
1613 E Clover Ave Spokane WA 99217-8759 |
| Practice Telephone | 5094448204 |
| Practice Fax Number | 5094340321 |
| Mailing Telephone | 5093687790 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2019-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD00045826 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
1502 N VERCLER RD |
| City | SPOKANE VALLEY |
| State | WA |
| Zip Code | 99216-1078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316585961 | Amber Lynn Anderson | Registered Nurse | 1502 N Vercler Rd, Spokane Valley, WA 99216-1078 | 2019-12-13 |
| 1669010294 | Jolene R Luebke | Registered Nurse | 1502 N Vercler Rd, Spokane Valley, WA 99216-1078 | 2019-12-13 |
| 1598309643 | Community Health Association of Spokane | Pharmacy | 1502 N Vercler Rd, Spokane Valley, WA 99216-1078 | 2019-11-01 |
| 1609437508 | Marissa Armstrong | Registered Nurse | 1502 N Vercler Rd, Spokane Valley, WA 99216-1078 | 2019-06-22 |
| 1700445681 | Joshua Zachary Osborne | Dentist | 1502 N Vercler Rd, Spokane Valley, WA 99216-1078 | 2019-06-13 |
| 1124593405 | Ellery Grace Young | Dentist | 1502 N Vercler Rd, Spokane Valley, WA 99216 | 2018-10-12 |
| 1336631167 | Jessica Lea Snyder | Dental Hygienist | 1502 N Vercler Rd, Spokane Valley, WA 99216-1078 | 2018-06-06 |
| 1184125346 | Community Health Association of Spokane | Pharmacy | 1502 N Vercler Rd, Spokane Valley, WA 99216-1078 | 2018-02-23 |
| 1164922217 | Benjamin Adric Schmelzer | Nurse Practitioner | 1502 N Vercler Rd, Spokane Valley, WA 99216-1078 | 2018-02-15 |
| 1962900704 | Bethany Joy Sanchez | Registered Nurse | 1502 N Vercler Rd, Spokane Valley, WA 99216-1078 | 2018-01-26 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902191372 | Sharon A Bridge | Family Medicine | 9621 E Sprague Ave, Spokane Valley, WA 99206-3618 | 2011-06-14 |
| 1578869913 | Providence Physician Services Co | Family Medicine | 12704 E Nora Ave, Ste B, Spokane Valley, WA 99216-1140 | 2011-02-02 |
| 1003079294 | Wilfred Alex Madarang | Family Medicine | 924 S Pines Rd, Spokane Valley, WA 99206-5423 | 2008-07-08 |
| 1073661625 | David Clark Gilman | Family Medicine | N 1414 Vereler, Bldg 4, Spokane Valley, WA 99216 | 2007-01-08 |
| 1629144571 | Philip L. Monroe | Family Medicine | 1414 N Vercler Rd Ste 2, Spokane Valley, WA 99216-1092 | 2006-11-24 |
| 1013086693 | Elizabeth M Jansen | Family Medicine | 16528 E Desmet Ct Ste 3100, Spokane Valley, WA 99216-3522 | 2006-11-07 |
| 1730261785 | Bryce Hunter Gilman | Family Medicine | 1414 N Vercler Rd Bldg 4, Spokane Valley, WA 99216-1092 | 2006-10-19 |
| 1588691943 | Steven O. Thomas | Family Medicine | 2713 N Argonne Rd, Spokane Valley, WA 99212-2239 | 2006-06-28 |
| 1780611939 | Debra Kay Stanciu | Family Medicine | 15923 E Longfellow Ave, Spokane Valley, WA 99216 | 2006-06-26 |
| 1265403745 | Fredrick Todd Brooking | Family Medicine | 14402 E Sprague Ave Ste 16, Spokane Valley, WA 99216-2167 | 2006-01-31 |
| Find all providers in SPOKANE VALLEY | ||||
| 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.