PROVIDENCE HEALTH & SERVICES WASHINGTON (NPI# 1881059954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881059954 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HEALTH & SERVICES WASHINGTON |
| Practice Address |
212 E Central Ave Suite 245 Spokane WA 99208-6291 |
| Mailing Address |
Po Box 421 Liberty Lake WA 99019-0421 |
| Practice Telephone | 5092521977 |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2020-08-04 |
| Authorized Official Name | MR. DONALD W ANDERSON JR. (DIR REIMB REG STRAT/ASST SEC ENROLL) |
| Authorized Official Telephone | 4255255392 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| 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 |
212 E CENTRAL AVE SUITE 245 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99208-6291 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477550572 | Philip Coff | Internal Medicine | 212 E Central Ave, Suite 440, Spokane, WA 99208-6291 | 2005-07-05 |
| 1881096774 | Timothy Brim | Physician Assistant | 212 E Central Ave, Suite 365, Spokane, WA 99208-6291 | 2014-09-23 |
| 1295135598 | Providence Physician Services Co. | Orthopaedic Surgery | 212 E Central Ave, Suite 245, Spokane, WA 99208-6291 | 2014-08-25 |
| 1841605433 | Nicole Breen | Family Medicine | 212 E Central Ave, Spokane, WA 99208-6291 | 2014-06-23 |
| 1154614469 | Jessica Renae Craddock | Internal Medicine | 212 E Central Ave, Suite 440, Spokane, WA 99208-6291 | 2011-05-19 |
| 1639471667 | Daniel J Simon | Physician Assistant | 212 E Central Ave, Suite 440, Spokane, WA 99208-6291 | 2010-11-24 |
| 1609182070 | David Bryan Ramey | Psychiatry & Neurology | 212 E Central Ave, Suite 315, Spokane, WA 99208-6291 | 2010-08-24 |
| 1942513874 | Providence Health & Services - Washington | Internal Medicine | 212 E Central Ave, Suite 240, Spokane, WA 99208-6289 | 2010-07-20 |
| 1154648814 | Providence Physician Services Co | Family Medicine | 212 E Central Ave, Ste 440, Spokane, WA 99208-6291 | 2010-04-21 |
| 1528385283 | Providence Physician Services Co | Family Medicine | 212 E Central Ave, Ste 440, Spokane, WA 99208-6290 | 2010-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043787161 | Bonnie Rose Spencer | Social Worker | E 44 Cozza, Spokane, WA 99208 | 2018-10-26 |
| 1235617515 | Melissa Dawn Scholl | Massage Therapist | 906 E Country Hill Ct, Spokane, WA 99208 | 2018-07-30 |
| 1043706583 | Healthy Schools Washington, Pllc | Pediatrics | 1028 West Rosewood Ave, Spokane, WA 99208 | 2018-07-09 |
| 1467943720 | Simone Ferguson | Student in an Organized Health Care Education/Training Program | 7808 North Morton Avenue, Apt. # 675, Spokane, WA 99208 | 2018-05-22 |
| 1912496035 | Ascend Network Corp | Counselor | 3711 W Woodside, Spokane, WA 99208 | 2018-05-03 |
| 1023522216 | Cherrywood Place-spokane, LLC | Assisted Living Facility | 100 East Dalke Ave, Spokane, WA 99208 | 2017-11-27 |
| 1881118792 | Annie Kamau | Registered Nurse | 5920 W Lonewolf, Spokane, WA 99208 | 2017-08-01 |
| 1609303908 | Jeffery Anthony Glinski | Counselor | 3754 W. Indian Trail Rd., Spokane, WA 99208 | 2017-05-17 |
| 1487186938 | Mukhlis Azar | Physical Therapy Assistant | 305 E Sierra Ct, Spokane, WA 99208 | 2017-04-03 |
| 1154796241 | Daisy O'dell | Marriage & Family Therapist | 515 W. Francis Ave., Suite #8, Spokane, WA 99208 | 2015-12-01 |
| Find all providers in zip 99208 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174865216 | Jessica M Kohring | Orthopaedic Surgery | 12410 East Sinto Suite 201, Spokane, WA 99216-1200 | 2013-03-26 |
| 1992083216 | Providence Physician Services Co. | Orthopaedic Surgery | 820 S Mcclellan, Suite 300, Providence Orthopedic Specialties, Spokane, WA 99204 | 2011-08-03 |
| 1275663189 | Warren James Adams | Orthopaedic Surgery | 801 West Fifth Avenue, Suite 304, Spokane, WA 99204-2800 | 2007-03-07 |
| 1477608875 | Christopher Bateman Dewing | Orthopaedic Surgery | 2420 E 29th Ave Ste 100, Spokane, WA 99223-4868 | 2007-01-24 |
| 1639145618 | Andrew T Howlett | Orthopaedic Surgery | 820 S Mcclellan, Ste 300, Spokane, WA 99204-2450 | 2006-02-28 |
| 1457331043 | Glen Olsen Baird | Orthopaedic Surgery | 911 W 5th Ave, Spokane, WA 99204-2901 | 2006-01-19 |
| 1356329114 | Matthew K Wallace | Orthopaedic Surgery | 212 E Central Ave Ste 140, Spokane, WA 99208-6289 | 2006-01-03 |
| 1013917913 | Donald Scott Redman | Orthopaedic Surgery | 624 E Front Ave, Spokane, WA 99202-2139 | 2005-07-21 |
| 1811522501 | Northwest Orthopaedic Specialists, P.s. | Orthopaedic Surgery | 9310 N Division St, Spokane, WA 99218-1227 | 2020-03-03 |
| 1184259871 | Northwest Orthopaedic Specialists Ps | Orthopaedic Surgery | 2710 E 57th Ave, Spokane, WA 99223-6678 | 2020-03-03 |
| 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.