DR. BASSEM BEJJANI (NPI# 1851349625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851349625 |
| Entity Type | Individual |
| Full Name | DR. BASSEM BEJJANI |
| Credential | M.D. |
| Practice Address |
44 W 6th Ave Suite 202 Spokane WA 99204-2306 |
| Practice Telephone | 5094746840 |
| Mailing Telephone | 5094746840 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 170100000X | Medical Genetics, Ph.D. Medical Genetics | MTS 4427 | WA | Other Service Providers |
| Street Address |
44 W 6TH AVE SUITE 202 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99204-2306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326585779 | Providence Health & Services Wa | Case Management | 44 W 6th Ave, Suite 218, Spokane, WA 99204-2306 | 2017-01-24 |
| 1578511937 | Lisa G. Shaffer | Medical Genetics, Ph.D. Medical Genetics | 44 W 6th Ave, Suite 202, Spokane, WA 99204-2306 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982250957 | Megan Elizabeth Dibenedetto | Pharmacist | 105 West 8th Avenue, 350e, Spokane, WA 99204 | 2019-08-14 |
| 1619521168 | Evelyn R Cabon | Genetic Counselor, MS | 101 W. 8th Avenue Suite 1100, Spokane, WA 99204 | 2019-08-01 |
| 1346700655 | Christina Rose | Student in an Organized Health Care Education/Training Program | 120 W. 8th Avenue, Spokane, WA 99204 | 2019-03-22 |
| 1508339862 | Cody J French | Physical Therapist | Washington Outpatient Rehab, 507 S Washington, Spokane, WA 99204 | 2019-01-09 |
| 1730655598 | Washington Outpatient Rehabilitation, LLC | Physical Therapist | 507 S. Washington St., Suite 10, Spokane, WA 99204 | 2018-10-19 |
| 1013405547 | Joel James Hayden | Student in an Organized Health Care Education/Training Program | Providence Sacred Heart, 101 West 8th Avenue, Spokane, WA 99204 | 2018-04-30 |
| 1144694787 | Brooksjohnsonpllc | Dentist | 1004 S. Monroe Street, Ste 100, Spokane, WA 99204 | 2015-11-19 |
| 1497184196 | Kathalene M Cassels | Physician Assistant | 810 W. 5th Ave. Ste 510, Spokane, WA 99204 | 2013-11-04 |
| 1174880454 | Kelly E Wurzel | Psychiatry & Neurology | 624 E. Front Ave, Spokane, WA 99204 | 2012-04-11 |
| 1003190331 | Katie L Gomez | Nurse Practitioner | 805 W. 5th Ave, Suite 518, Spokane, WA 99204 | 2011-10-05 |
| Find all providers in zip 99204 | ||||
| Taxonomy Code | 170100000X |
| Grouping | Other Service Providers |
| Classification | Medical Genetics, Ph.D. Medical Genetics |
| A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. |
| Notes: A general certificate was first issued by ABMS in 1982. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518935329 | Inland Northwest Genetics Clinic | Medical Genetics, Ph.D. Medical Genetics | 2607 S Southeast Blvd, Bldg. A100, Spokane, WA 99223-4942 | 2006-03-08 |
| 1578511937 | Lisa G. Shaffer | Medical Genetics, Ph.D. Medical Genetics | 44 W 6th Ave, Suite 202, Spokane, WA 99204-2306 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861758955 | Debra King | Medical Genetics, Ph.D. Medical Genetics | 9812 Ne 26th Ave, Vancouver, WA 98665-5716 | 2012-04-03 |
| 1073790861 | Eleanor Sutherland M.d. | Medical Genetics, Ph.D. Medical Genetics | 5100 Sw 316th Place, Federal Way, WA 98023-2037 | 2008-01-24 |
| 1922392133 | Walaa Alshuaibi | Medical Genetics, Ph.D. Medical Genetics | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2011-06-06 |
| 1689832370 | Christine M Disteche | Medical Genetics, Ph.D. Medical Genetics | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2008-05-29 |
| 1396942728 | Bettina Dara Ramick | Medical Genetics, Ph.D. Medical Genetics | 25658 104th Ave Se, Kent, WA 98030-7610 | 2007-06-29 |
| 1972705622 | Karen Ann Nelson | Medical Genetics, Ph.D. Medical Genetics | 921 Terry Ave, Seattle, WA 98104-1239 | 2007-06-04 |
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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.