SPOKANE EMERGENCY CARE PHYSICIANS PLLC (NPI# 1912564055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912564055 |
Entity Type | Organization |
Organization Name | SPOKANE EMERGENCY CARE PHYSICIANS PLLC |
Practice Address |
800 W 5th Ave Spokane WA 99204-2803 |
Mailing Address |
Po Box 809 San Dimas CA 91773-0809 |
Practice Telephone | 6264470296 |
Practice Fax Number | 5094737508 |
Mailing Telephone | 6264470296 |
Enumeration Date | 2019-05-23 |
Last Update Date | 2019-08-09 |
Authorized Official Name | DR. JAIME L. DELCAMPO (PRESIDENT) |
Authorized Official Telephone | 6264470296 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
12606 E Mission Ave, Spokane Valley, WA 992163421 | 5099246650 | 5094735896 |
12606 E Mission Ave, Spokane Valley, WA 992163421 | 6264470296 | 5094735896 |
8202 N Division St, Spokane, WA 992085713 | 5094733333 | 5094737873 |
8202 N Division St, Spokane, WA 992085713 | 6264470296 | 5094737873 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Washington State Corporations | SPOKANE EMERGENCY CARE PHYSICIANS PLLC | Deaconess Medical Office Building, 801 W 5th Ave, Ste 118, Spokane, WA 99204 |
Street Address |
800 W 5TH AVE |
City | SPOKANE |
State | WA |
Zip Code | 99204-2803 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750385175 | James William Greenawalt IIi | Anesthesiology | 800 W 5th Ave, Spokane, WA 99204 | 2005-06-13 |
1023671013 | Neal Andrew Pickering | Nurse Practitioner | 800 W 5th Ave, Spokane, WA 99204-2803 | 2019-04-16 |
1114487949 | Randy Gordon Scott Fleming | Nurse Anesthetist, Certified Registered | 800 W 5th Ave, Spokane, WA 99204 | 2019-03-19 |
1710460498 | Joel Aiken | Physician Assistant | 800 W 5th Ave, Spokane, WA 99204 | 2018-09-10 |
1891278677 | Kalie Grambeau | Registered Nurse | 800 W 5th Ave, Spokane, WA 99204-2803 | 2018-09-07 |
1396237608 | Liberty Hanisch | Registered Nurse | 800 W 5th Ave, Spokane, WA 99204-2803 | 2018-06-01 |
1417449810 | Brian Carroll | Registered Nurse | 800 W 5th Ave, Spokane, WA 99204-2803 | 2018-05-31 |
1356852164 | Timothy Neal Cornwall | Registered Nurse | 800 W 5th Ave, Spokane, WA 99204 | 2017-10-19 |
1275042251 | Brian Wilson | Registered Nurse | 800 W 5th Ave, Spokane, WA 99204 | 2017-09-22 |
1467971762 | Kathryn Wilson | Registered Nurse | 800 W 5th Ave, Spokane, WA 99204 | 2017-09-18 |
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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 | 207P00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457705147 | Daniel Hinds | Emergency Medicine | 10019 N Austin Ln, Spokane, WA 99208-6072 | 2016-04-19 |
1144552704 | Northwest Pacific Emergency Physicians LLP | Emergency Medicine | 800 West Fifth Avenue, Spokane, WA 99210-0248 | 2010-02-08 |
1861606527 | Amy C. Romey | Emergency Medicine | 101 W 8th, Spokane, WA 90225 | 2007-05-10 |
1144355900 | Brian Raymond Floyd | Emergency Medicine | 14126 E Forker Ridge Ln, Spokane, WA 99216-2290 | 2007-02-22 |
1720124001 | Daniel J. Case | Emergency Medicine | 701 E 10th Ave, Spokane, WA 99202-2412 | 2007-01-30 |
1932111226 | Medford Cashion | Emergency Medicine | 1635 S Canyon Woods Ln, Spokane, WA 99224-5734 | 2006-08-13 |
1760435028 | Michael Jacks Mainer | Emergency Medicine | 3754 W Indian Trail Rd, Spokane, WA 99208-4700 | 2006-05-18 |
1508834474 | Molly Hutsinpiller | Emergency Medicine | 4328 S Perry St, Spokane, WA 99203-4337 | 2006-03-08 |
1023097847 | Lynn Bergman | Emergency Medicine | 5633 N Lidgerwood, Emergency Physicians Services, Spokane, WA 99208 | 2006-01-10 |
1295129922 | Judd Preston Shelton | Emergency Medicine | 800 W 5th Ave, Spokane, WA 99204-2803 | 2015-03-19 |
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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.