Michelle A Lightfoot Gupta (NPI# 1033343298, PAC ID# 4284980392) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PEDIATRIC MEDICINE.
| Nation Provider ID (NPI) | 1033343298 |
| PAC ID by PECOS | 4284980392 |
| Professional Enrollment ID | I20180703001381 |
| Full Name | Michelle A Lightfoot Gupta |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES WASHINGTON |
| Address |
101 W 8th Ave Suite 100 Spokane WA 99204-2307 |
| Phone Number | 5094742880 |
| Gender | F |
| Medical School | VANDERBILT UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 0345139929 |
| Number of Group Practice Members | 561 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500054 | PROVIDENCE SACRED HEART MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 101 W 8th Ave, Suite 100, Spokane, WA 99204-2307 | 5094742880 | PROVIDENCE HEALTH AND SERVICES WASHINGTON |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES WASHINGTON |
| Physicians | 1132 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Kinnard | Nurse Practitioner | Providence Health and Services Washington | 2555 Marvin Rd Ne, Lacey, WA 98516-3138 |
| Alexander Lee Telis | Orthopedic Surgery | Providence Health and Services Washington | 820 S Mcclellan St, Suite 300, Spokane, WA 99204-2450 |
| Jodi Ann Fischer | Nurse Practitioner | Providence Health and Services Washington | 1450 Northwest Ln Se, Suite A, Lacey, WA 98503-6908 |
| Katherine Elizabeth Reynolds | Nurse Practitioner | Providence Health and Services Washington | 1212 N Pines Rd, Spokane Valley, WA 99206-4939 |
| Eugene Daniel Villacian | Nurse Practitioner | Providence Health and Services Washington | 3333 Ensign Rd Ne, Olympia, WA 98506-5012 |
| Shira Y Albert | Nurse Practitioner | Providence Health and Services Washington | 12312 E Sprague Ave, Spokane Valley, WA 99216-0720 |
| Lisa Tisch | Nurse Practitioner | Providence Health and Services Washington | 551 E Hawthorne Rd, Spokane, WA 99218-1417 |
| Natalie S Angus | Family Medicine | Providence Health and Services Washington | 931 S Market Blvd, Chehalis, WA 98532-3423 |
| Tabatha Schellenger | Nurse Practitioner | Providence Health and Services Washington | 3760 Piper St, Suite 1108, Anchorage, AK 99508-4683 |
| Callie Rose Adams | Nurse Practitioner | Providence Health and Services Washington | 212 E Central Ave, Suite 240, Spokane, WA 99208-6597 |
| Street Address |
101 W 8TH AVE SUITE 100 |
| City | SPOKANE |
| State | WA |
| Zip | 99204-2307 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas D Dea | Physician Assistant | Spokane Emergency Physicians Ps | 101 W 8th Ave, Spokane, WA 99204-2307 |
| Mary C Smith | Thoracic Surgery | Providence Health and Services-wa | 101 W 8th Ave, Spokane, WA 99204-2307 |
| Rita A Davis | Nurse Practitioner | Spokane Emergency Physicians Ps | 101 W 8th Ave, Spokane, WA 99204-2307 |
| Abdelrahman Fouad Ahmed Beltagy | Neurology | Providence Health and Services Washington | 101 W 8th Ave, Fl 3 North, Spokane, WA 99204-2307 |
| Christopher Scott Coons | Hospitalist | Providence Health and Services Washington | 101 W 8th Ave, 3rd Floor East, Spokane, WA 99204-2307 |
| Michael Petty | Certified Registered Nurse Anesthetist (crna) | Providence Health and Service- Washington | 101 W 8th Ave, Spokane, WA 99204-2307 |
| Joshua S Adams | Certified Registered Nurse Anesthetist (crna) | Providence Health and Service- Washington | 101 W 8th Ave, Spokane, WA 99204-2307 |
| Kurt W Kohler | Physician Assistant | Providence Health and Services-wa | 101 W 8th Ave, Spokane, WA 99204-2307 |
| Thomas A Satterfield | Anesthesiology | Providence Health and Service- Washington | 101 W 8th Ave, Spokane, WA 99204-2307 |
| Lesley Anne Cruz Portugal | Internal Medicine | Providence Health and Services Washington | 101 W 8th Ave, Spokane, WA 99204-2307 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth K Ohalloran | Family Practice | Providence Health and Services Washington | 105 E 8th Ave, Spokane, WA 99204 |
| Monica M Zherebtsov | Pediatric Medicine | Providence Health and Services Washington | 105 E 8th Ave, Suite 418, Spokane, WA 99204 |
| Mark P Guthrie | Chiropractic | Healing Center Inc. | 1625 W 4th Ave, Suite 200, Spokane, WA 99204-1720 |
| Kathleen D Lavis | Chiropractic | Healing Center Inc. | 1625 W 4th Ave, Suite 200, Spokane, WA 99204-1720 |
| Darcy A Kelly | Chiropractic | Healing Center Inc. | 1625 W 4th Ave, Suite 200, Spokane, WA 99204-1720 |
| Lucy E Peterson | Plastic and Reconstructive Surgery | 105 W 8th Ave, Spokane, WA 99204-2300 | |
| Kellen Ross Gumm | Physician Assistant | Providence Health and Services - Wa | 122 W 7th Ave, 110 Northwest Heart and Lung Surgical Association, Spokane, WA 99204-2301 |
| Maria C Cassel | Physician Assistant | Providence Health and Services - Wa | 122 W 7th Ave, Spokane, WA 99204-2301 |
| Michelle Minyoung Rhee | Physician Assistant | Providence Health and Services - Wa | 122 W 7th Ave, Spokane, WA 99204-2301 |
| Anisha Boetel | Psychiatry | Providence Health and Services Washington | 105 W 8th Ave, Suite 450e, Spokane, WA 99204-2302 |
| Find all physicians in zip 99204 | |||
| City | SPOKANE |
| Zip Code | 99204 |
| Specialty | PEDIATRIC MEDICINE |
| City + Specialty | SPOKANE + PEDIATRIC MEDICINE |
Please comment or provide details below to improve the information on Michelle A Lightfoot Gupta.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.