PROVIDENCE PHYSICIAN SERVICES CO.


Address: 820 S Mcclellan, Suite 300, Providence Orthopedic Specialties, Spokane, WA 99204
Phone: 5094647880

PROVIDENCE PHYSICIAN SERVICES CO. (NPI# 1992083216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992083216
Entity Type Organization
Organization Name PROVIDENCE PHYSICIAN SERVICES CO.
Other Organization Name PPS PROVIDENCE ORTHOPEDIC SPECIALTIES
Practice Address 820 S Mcclellan, Suite 300
Providence Orthopedic Specialties
Spokane
WA 99204
Mailing Address Po Box 34439
Seattle
WA 98124
Practice Telephone 5094647880
Practice Fax Number 5094647961
Enumeration Date 2011-08-03
Last Update Date 2011-08-03
Authorized Official Name MR. MICHAEL J MALLORY (CREDENTIALING SPECIALIST)
Authorized Official Telephone 4255256798
Is Organization Subpart Y
Parent Organization Name PROVIDENCE PHYSICIAN SERVICES CO.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207X00000X Orthopaedic Surgery Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
PPS Providence Orthopedic Specialties Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1295135598 Providence Physician Services Co. Orthopaedic Surgery 212 E Central Ave, Suite 245, Spokane, WA 99208-6291 2014-08-25
1023385721 Providence Physician Services Co. Family Medicine 105 W 8th Ave, Suite 7040, Spokane, WA 99204-2302 2011-11-23
1831146968 Providence Physician Services Co. Pediatrics 101 W 8th Ave, Mother Gamelin Center 3rd Flr, Spokane, WA 99204-2307 2006-05-26

Other Data Sources

Entity Type Entity Name Entity Address
Washington State Corporations PROVIDENCE PHYSICIAN SERVICES CO. 1801 Lind Ave Sw, Renton, WA 98057-3368

Office Location

Street Address 820 S MCCLELLAN, SUITE 300
PROVIDENCE ORTHOPEDIC SPECIALTIES
City SPOKANE
State WA
Zip Code 99204

Providers in the same zip code

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 Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174865216 Jessica M Kohring Orthopaedic Surgery 12410 East Sinto Suite 201, Spokane, WA 99216-1200 2013-03-26
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
1336796119 Northwest Orthopaedic Specialists, P.s. Orthopaedic Surgery 212 E Central Ave Ste 140, Spokane, WA 99208-6289 2019-08-26
Find all providers in SPOKANE

Competitor

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City SPOKANE
Zip Code 99204

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Dataset Information

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.

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