MS. ENNESSA IVY GORKOVCHENKO (NPI# 1124532502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124532502 |
| Entity Type | Individual |
| Full Name | MS. ENNESSA IVY GORKOVCHENKO |
| Credential | PA-C |
| Practice Address |
217 W Cataldo Ave Spokane WA 99201-2217 |
| Mailing Address |
Po Box 2242 Spokane WA 99210-2242 |
| Practice Telephone | 5097476194 |
| Practice Fax Number | 5092522837 |
| Mailing Telephone | 5097476194 |
| Mailing Fax Number | 5092522837 |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2018-09-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA60901681 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | DEPARTMENT OF HEALTH | PA60901681 | 01 |
| Street Address |
217 W CATALDO AVE |
| City | SPOKANE |
| State | WA |
| Zip Code | 99201-2217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326024092 | Frederick Paul French | Surgery | 217 W Cataldo Ave, Spokane, WA 99201-2217 | 2005-12-15 |
| 1558989442 | Brittany Richelle Martin | Nurse Practitioner | 217 W Cataldo Ave, Spokane, WA 99201-2217 | 2020-07-08 |
| 1811541527 | Hannah Jones | Audiologist | 217 W Cataldo Ave, Spokane, WA 99201-2217 | 2019-07-31 |
| 1760963698 | Jessica Lil Anderies | Physician Assistant | 217 W Cataldo Ave, Spokane, WA 99201-2217 | 2018-08-28 |
| 1811423593 | Lucas Shulman | Physician Assistant | 217 W Cataldo Ave, Spokane, WA 99201 | 2017-05-02 |
| 1013441336 | Edward Hans Kaio | Hearing Instrument Specialist | 217 W Cataldo Ave, Spokane, WA 99201-2217 | 2017-04-13 |
| 1306390703 | Nadine E King | Hearing Instrument Specialist | 217 W Cataldo Ave, Spokane, WA 99201-2217 | 2016-08-15 |
| 1972963098 | Columbia Surgical Specialists | Audiologist | 217 W Cataldo Ave, Spokane, WA 99201-2217 | 2016-03-02 |
| 1437519568 | Suzanne Reed | Audiologist | 217 W Cataldo Ave, Spokane, WA 99201-2217 | 2016-03-02 |
| 1720471774 | Miranda K Detore | Physician Assistant | 217 W Cataldo Ave, Spokane, WA 99201-2217 | 2015-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517952 | Maria Escobedo | Counselor | 1321 N. Ash, Spokane, WA 99201 | 2020-10-29 |
| 1619576774 | Bethany Heath Arnp-pmhnp Pllc | Nurse Practitioner | 1224 West Riverside, Apt 408, Spokane, WA 99201 | 2020-10-20 |
| 1811594658 | Kaaren Goeller-bloom | Counselor | 106 West Mission, Spokane, WA 99201 | 2020-10-05 |
| 1649732793 | Marsha Rose Valenzuela | Peer Specialist | Partners With Families and Children, 1321 W. Broadway, Spokane, WA 99201 | 2019-04-05 |
| 1770047896 | Rachel Nicole Burns | Counselor | 1321 W. Broadway Ave, Spokane, WA 99201 | 2019-01-23 |
| 1760953384 | Nicole Renee Breesnee | Counselor | 2308 W. 3rd Ave, Spokane, WA 99201 | 2018-12-07 |
| 1083184675 | Alicia L Paschall | Counselor | 222 S Howard St, Apt 310, Spokane, WA 99201 | 2018-11-27 |
| 1003383159 | Sandra Kay Robinson | Counselor | New Horizons Care Centers, Inc., 701 E 3rd Street, Spokane, WA 99201 | 2018-10-26 |
| 1801361191 | Michael Joseph Lehman | Naturopath | 316 W Boone Ave Ste 777, Spokane, WA 99201 | 2018-10-12 |
| 1316422454 | Cmdpn Medical Group of Washington, P.C. | Emergency Medicine | 707 West Main Ave. Ste B1, Pmb 117, Spokane, WA 99201 | 2018-09-25 |
| Find all providers in zip 99201 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033720495 | Riley Richardson | Physician Assistant | 1008 E Windemere Ct, Spokane, WA 99223-6228 | 2020-08-11 |
| 1295189066 | Thomas D Eskelsen | Physician Assistant | 910 W 5th Ave Ste 801, Spokane, WA 99204-2974 | 2016-04-19 |
| 1063818789 | Jeffrey Jason Hershey | Physician Assistant | 6022 N Vista Ridge Ln, Spokane, WA 99217-5503 | 2014-11-06 |
| 1114345022 | Lindsay Urso | Physician Assistant | 4001 N. Cook St, Riverstone Family Health, Spokane, WA 99207 | 2014-03-29 |
| 1891116216 | Heather Stout | Physician Assistant | 605 E Holland Ave Ste 101, Spokane, WA 99218-1246 | 2014-01-02 |
| 1497184196 | Kathalene M Cassels | Physician Assistant | 810 W. 5th Ave. Ste 510, Spokane, WA 99204 | 2013-11-04 |
| 1700218534 | Terry Anne Noyes | Physician Assistant | 528 E Spokane Falls Blvd Ste 502, Spokane, WA 99202 | 2013-08-03 |
| 1710237003 | Amber N Wilson | Physician Assistant | 1422 E Grassland Ct, Spokane, WA 99217-8700 | 2012-09-13 |
| 1669747275 | Tiffany Lynn Forquer | Physician Assistant | 601 West Fifth Avenue, Suite 400, Spokane, WA 99204-2457 | 2012-03-14 |
| 1235420498 | Lauren Patton | Physician Assistant | 9027 N Indian Trail Rd, Spokane, WA 99208-9116 | 2011-04-22 |
| Find all providers in SPOKANE | ||||
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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.