Ronnie D Mantilla (NPI# 1164785549, PAC ID# 4486961083) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1164785549 |
| PAC ID by PECOS | 4486961083 |
| Professional Enrollment ID | I20180816003107 |
| Full Name | Ronnie D Mantilla |
| Organization Legal Name | SPOKANE CRITICAL CARE ASSOCIATES, PS |
| Address |
12615 E Mission Ave Suite 200 Spokane Valley WA 99216-1047 |
| Phone Number | 5093533960 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | PULMONARY DISEASE |
| Group Practice PAC ID | 3577575653 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500054 | PROVIDENCE SACRED HEART MEDICAL CENTER |
| 500077 | PROVIDENCE HOLY FAMILY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 12615 E Mission Ave, Suite 200, Spokane Valley, WA 99216-1047 | 5093533960 | SPOKANE CRITICAL CARE ASSOCIATES, PS |
| Organization Legal Name | SPOKANE CRITICAL CARE ASSOCIATES, PS |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donald S Howard | Pulmonary Disease | Spokane Critical Care Associates, Ps | 101 W 8th Ave, Spokane, WA 99204-2307 |
| Stephen B Bartsch | Pulmonary Disease | Spokane Critical Care Associates, Ps | 101 W 8th Ave, Spokane, WA 99204-2307 |
| Steven K Richardson | Pulmonary Disease | Spokane Critical Care Associates, Ps | 101 W 8th Ave, Spokane, WA 99204-2307 |
| Jeffrey C Elmer | Pulmonary Disease | Spokane Critical Care Associates, Ps | 101 W 8th Ave, Spokane, WA 99204-2307 |
| Carolina Q See | Pulmonary Disease | Spokane Critical Care Associates, Ps | 101 W 8th Ave, Spokane, WA 99204-2307 |
| Charles R Houchin | Physician Assistant | Spokane Critical Care Associates, Ps | 101 W 8th Ave, Spokane, WA 99204-2307 |
| Street Address |
12615 E MISSION AVE SUITE 200 |
| City | SPOKANE VALLEY |
| State | WA |
| Zip | 99216-1047 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kaiulani W Morimoto | Plastic and Reconstructive Surgery | 12615 E Mission Ave, Suite 105, Spokane Valley, WA 99216-1047 | |
| Laura M Nice | Physical Therapy | Lake City Physical Therapy Pa | 12615 E Mission Ave, Suite 109, Spokane, WA 99216-1047 |
| Robert J Golden | Urology | 12615 E Mission Ave, Suite 303, Spokane Valley, WA 99216-1047 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shira Y Albert | Nurse Practitioner | Providence Health and Services Washington | 12312 E Sprague Ave, Spokane Valley, WA 99216-0720 |
| Brittany C Correll | Chiropractic | Spinal and Sports Care Clinic Ps | 12905 E Sprague Ave, Spokane, WA 99216-0731 |
| William J Choate | Chiropractic | Spinal and Sports Care Clinic Ps | 12905 E Sprague Ave, Spokane, WA 99216-0731 |
| Kenneth R Vandyken | Chiropractic | Spinal and Sports Care Clinic Ps | 12905 E Sprague Ave, Spokane, WA 99216-0731 |
| Steven L Shirley | Chiropractic | Spinal and Sports Care Clinic Ps | 12905 E Sprague Ave, Spokane, WA 99216-0731 |
| Patricia Da Fichter | Chiropractic | 13701 E Sprague Ave, Spokane Valley, WA 99216-0811 | |
| Dean David Evans | Physical Therapy | Sonny Physical Therapy LLC | 222 S Evergreen Rd, Spokane Valley, WA 99216-0834 |
| Randall Steven Hollman | Occupational Therapy | Sonny Physical Therapy LLC | 222 S Evergreen Rd, Spokane Valley, WA 99216-0834 |
| Elizabeth Michelle Gunderson | Hematology/oncology | Cancer Care Northwest Centers Ps | 1204 N Vercler Rd, Suite 201, Spokane Valley, WA 99216-1020 |
| Srijana Rai | Medical Oncology | Cancer Care Northwest Centers Ps | 1204 N Vercler Rd, Suite 201, Spokane Valley, WA 99216-1020 |
| Find all physicians in zip 99216 | |||
| City | SPOKANE VALLEY |
| Zip Code | 99216 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SPOKANE VALLEY + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Ronnie D Mantilla.
| 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.