DR. BROOKS THOMAS LASELLE (NPI# 1003887720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003887720 |
| Entity Type | Individual |
| Full Name | DR. BROOKS THOMAS LASELLE |
| Credential | M.D. |
| Practice Address |
101 W 8th Ave Spokane WA 99204-2307 |
| Mailing Address |
715 N Madson Ct Liberty Lake WA 99019-7507 |
| Practice Telephone | 2532173832 |
| Mailing Telephone | 2532173832 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2013-06-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
60249293 | WA | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 48844-020 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
101 W 8TH AVE |
| City | SPOKANE |
| State | WA |
| Zip Code | 99204-2307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003819319 | Sacred Heart Medical Center | General Acute Care Hospital | 101 W 8th Ave, Spokane, WA 99204-2307 | 2005-05-31 |
| 1124626841 | Melissa Ann Benson | Respiratory Therapist, Registered | 101 W 8th Ave, Spokane, WA 99204-2307 | 2020-10-14 |
| 1184236671 | Margaret Ann Warren | Physical Therapist | 101 W 8th Ave, Spokane, WA 99204-2307 | 2020-08-18 |
| 1265044747 | Melyssa Carlson | Registered Nurse | 101 W 8th Ave, Spokane, WA 99204-2307 | 2020-08-17 |
| 1760091276 | Corle Morefield | Pharmacist | 101 W 8th Ave, Spokane, WA 99204-2307 | 2020-07-30 |
| 1174143663 | Ashley Kay Gardiner | Student in an Organized Health Care Education/Training Program | 101 W 8th Ave, Spokane, WA 99204-2307 | 2020-04-24 |
| 1265061485 | Mary Katherine Griessmann | Social Worker | 101 W 8th Ave, Spokane, WA 99204-2307 | 2020-04-08 |
| 1558990994 | Ingrid Mary Agnew | Social Worker | 101 W 8th Ave, Spokane, WA 99204-2307 | 2020-04-07 |
| 1952930562 | Cody Key | Student in an Organized Health Care Education/Training Program | 101 W 8th Ave, Spokane, WA 99204-2307 | 2020-04-06 |
| 1417586173 | Samuel Logan | Student in an Organized Health Care Education/Training Program | 101 W 8th Ave, Spokane, WA 99204-2307 | 2020-04-05 |
| Find all providers in the same location | ||||
| 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 | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316422454 | Cmdpn Medical Group of Washington, P.C. | Emergency Medicine | 707 West Main Ave. Ste B1, Pmb 117, Spokane, WA 99201 | 2018-09-25 |
| 1982820965 | Travis Wade Dierks | Emergency Medicine | 800 W 5th Ave, Spokane, WA 99204-2803 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740713627 | Anthony Warfield | Emergency Medicine | 120 Republican St, #404, Seattle, WA 98109-4745 | 2017-04-06 |
| 1083877559 | Lisa Marie Wilson | Emergency Medicine | 925 Seneca St., Mailstop H6-ed, Virginia Mason Medical Center, Seattle, WA 98101 | 2008-07-05 |
| 1467574863 | Mark Urmanski | Emergency Medicine | 3700 Martin Way E, Suite 108, Olympia, WA 98506-5052 | 2007-04-04 |
| 1790805190 | Cascade Urgent Care, Inc., Ps | Emergency Medicine | 1413 S 348th Street, L106, Federal Way, WA 98003-8373 | 2007-03-30 |
| 1508952060 | John R. Knudsen | Emergency Medicine | 6046 Portal Way, Ste 103, Ferndale, WA 98248-7829 | 2006-10-04 |
| 1376574160 | Jeffrey Philip Roger | Emergency Medicine | 2005 Nw Sammamish Road, Issaquah, WA 98027 | 2006-07-06 |
| 1750329777 | Stephani J. Amstadter | Emergency Medicine | 5920 - 100th St. Sw #31, Lakewood, WA 98499-2751 | 2006-06-03 |
| 1922059187 | Stephen E Pohl | Emergency Medicine | Hpo 1, Boone Road, Navy Hospital, Bremerton, WA 98312 | 2006-05-13 |
| 1871569012 | Steven Temerlin | Emergency Medicine | 1717 South J Street, Tacoma, WA 98405-4933 | 2006-02-27 |
| 1669443891 | Robert Bruce Nolan | Emergency Medicine | 1606 N Proctor St, Tacoma, WA 98406-5227 | 2006-01-27 |
| Find all providers with the same taxonomy | ||||
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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.