NORTHSIDE FAMILY MEDICINE, P.S. (NPI# 1134308851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134308851 |
| Entity Type | Organization |
| Organization Name | NORTHSIDE FAMILY MEDICINE, P.S. |
| Practice Address |
220 E Rowan Ave Suite 330 Spokane WA 99207-1202 |
| Practice Telephone | 5094899700 |
| Practice Fax Number | 5094899800 |
| Mailing Telephone | 5094899700 |
| Mailing Fax Number | 5094899800 |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2008-12-10 |
| Authorized Official Name | DR. KRISTINA H.H. ANDERSON (CORPORATE OFFICER) |
| Authorized Official Telephone | 5094899700 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173000000X | Legal Medicine | MD00037404 | WA | Other Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | NORTHSIDE FAMILY MEDICINE, P.S. | 5901 N Lidgerwood St Ste 223, Spokane, WA 99208-1122 |
| Street Address |
220 E ROWAN AVE SUITE 330 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99207-1202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538117650 | Jolie Ewart | Nurse Practitioner | 220 E Rowan Ave, Ste 300, Spokane, WA 99207-1202 | 2006-05-04 |
| 1790181493 | David E. Anderson | Physician Assistant | 220 E Rowan Ave, Suite 300, Spokane, WA 99207-1202 | 2014-11-07 |
| 1548506918 | Carly Melissa Glass | Physician Assistant | 220 E Rowan Ave, Ste 300, Spokane, WA 99207-1202 | 2012-12-12 |
| 1528310893 | The Doctors Clinic of Spokane | Physician Assistant | 220 E Rowan Ave, Ste 300, Spokane, WA 99207-1202 | 2012-10-10 |
| 1083864045 | Rebecca E Johnson | Physician Assistant | 220 E Rowan Ave, Suite 300, Spokane, WA 99207-1202 | 2008-09-26 |
| 1275720724 | James C Bonvallet Md Ps | Specialist | 220 E Rowan Ave, Suite 230, Spokane, WA 99207-1202 | 2007-09-28 |
| 1780886895 | Jude Longo | Specialist | 220 E Rowan Ave, Suite 170, Spokane, WA 99207-1202 | 2007-06-01 |
| 1972658961 | Alan D Alyea | Orthopaedic Surgery | 220 E Rowan Ave, Suite 100, Spokane, WA 99207-1202 | 2007-01-23 |
| 1861546079 | Spokane Orthopedics Pllc | Orthopaedic Surgery | 220 E Rowan Ave, Suite 100, Spokane, WA 99207-1202 | 2007-01-23 |
| 1073668075 | Craig M Bone | Orthopaedic Surgery | 220 E Rowan Ave, Suite 100, Spokane, WA 99207-1202 | 2007-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437669231 | Rebecca Althouse | Massage Therapist | 59 E. Queen Ave. Suite 104, Spokane, WA 99207 | 2017-10-05 |
| 1891142105 | Kathleen Annette Love | Counselor | 2702 N. Perry, Spokane, WA 99207 | 2016-05-17 |
| 1184094831 | Rachel Robles | Massage Therapist | 514 E. Providence Ave, Spokane, WA 99207 | 2015-10-06 |
| 1114345022 | Lindsay Urso | Physician Assistant | 4001 N. Cook St, Riverstone Family Health, Spokane, WA 99207 | 2014-03-29 |
| 1780936930 | Amber Elizabeth Riemersma | Midwife | 127 E Eculid, Spokane, WA 99207 | 2012-10-12 |
| 1376816108 | Michelle Christine Rees | Massage Therapist | 1504 E. Everett, Spokane, WA 99207 | 2012-02-09 |
| 1750658241 | Zita Lindell Nickeson | Counselor | 4407 N. Division Suite 304, Spokane, WA 99207 | 2011-11-28 |
| 1912282989 | Carolyn C Millen | Pharmacist | 12 E. Empire Ave, Spokane, WA 99207 | 2011-10-20 |
| 1316222730 | Brooke Pickering | Pharmacist | 12 E Empire, Spokane, WA 99207 | 2011-10-17 |
| 1891001277 | Providence Physician Services Co | Pediatrics | 5901 N Linderwood, Suite 126, Spokane, WA 99207 | 2010-08-24 |
| Find all providers in zip 99207 | ||||
| Taxonomy Code | 173000000X |
| Grouping | Other Service Providers |
| Classification | Legal Medicine |
| The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548261068 | Bates Drug Stores Inc. | Legal Medicine | 3704 N Nevada St, Spokane, WA 99207-2968 | 2005-08-09 |
| 1164804704 | Meghan Sahlberg | Legal Medicine | 105 W 8th Ave, Spokane, WA 99204-2302 | 2015-06-19 |
| 1962667741 | William A. Wray Md, Pllc | Legal Medicine | 5901 N Lidgerwood St, Suite 118, Spokane, WA 99208-5095 | 2008-07-22 |
| 1245209394 | William A Wray | Legal Medicine | 5901 N Lidgerwood St, Suite 118, Spokane, WA 99208-5095 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457787533 | Central Seattle Panel of Consultants | Legal Medicine | 411 12th Ave Ste 300, Seattle, WA 98122-5523 | 2013-09-19 |
| 1861743791 | For Women | Legal Medicine | 3711 Pacific Ave Ste 200, Tacoma, WA 98418-7800 | 2012-10-02 |
| 1891004958 | Yulya Korniychuk | Legal Medicine | 18308 101st St E, Bonney Lake, WA 98391-8154 | 2010-10-06 |
| 1548409337 | Northwest Vein and Aesthetic Center Ps | Legal Medicine | 4700 Point Fosdick Dr Nw Ste 307, Gig Harbor, WA 98335-1706 | 2009-02-18 |
| 1609033968 | Tami Simmone Meraglia | Legal Medicine | 1501 Queen Anne Ave N, Seattle, WA 98109-3160 | 2008-05-22 |
| 1427245547 | Meadow Creek Family Medicine | Legal Medicine | 22510 Se 64th Pl Ste 130, Issaquah, WA 98027-5389 | 2007-10-02 |
| 1689892101 | Ceferino Ame Fernandez | Legal Medicine | 7909 Rainier Ave S, Seattle, WA 98118-4444 | 2007-04-22 |
| 1881811917 | Shawn J Riedel | Legal Medicine | 15317 Stone Ave N, Shoreline, WA 98133-6221 | 2007-04-19 |
| 1386712800 | Rashmi Arora | Legal Medicine | 12911 120th Ave Ne Suite # B10, Kirkland, WA 98034 | 2006-12-01 |
| 1902978034 | Sandra Rae Harris | Legal Medicine | 24223 9th Ave S, Des Moines, WA 98198-3881 | 2006-11-14 |
| 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.