HEALOGICS SPECIALTY PHYSICIANS OF WASHINGTON, PLLC


Address: 800 W 5th Ave, Spokane, WA 99204-2803
Phone: 9044463451

HEALOGICS SPECIALTY PHYSICIANS OF WASHINGTON, PLLC (NPI# 1134599897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134599897
Entity Type Organization
Organization Name HEALOGICS SPECIALTY PHYSICIANS OF WASHINGTON, PLLC
Practice Address 800 W 5th Ave
Spokane
WA 99204-2803
Mailing Address 5220 Belfort Rd
Suite 130
Jacksonville
FL 32256-6017
Practice Telephone 9044463451
Enumeration Date 2015-10-06
Last Update Date 2020-03-03
Authorized Official Name CHARLEEN ISE (OWNER/PRESIDENT)
Authorized Official Telephone 8556895105
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2083P0011X Preventive Medicine
Specialization: Undersea and Hyperbaric Medicine
Allopathic & Osteopathic Physicians

Other Data Sources

Entity Type Entity Name Entity Address
Washington State Corporations HEALOGICS SPECIALTY PHYSICIANS OF WASHINGTON, PLLC 5220 Belfort Rd Ste 130, Jacksonville, FL 32256

Office Location

Street Address 800 W 5TH AVE
City SPOKANE
State WA
Zip Code 99204-2803

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750385175 James William Greenawalt IIi Anesthesiology 800 W 5th Ave, Spokane, WA 99204 2005-06-13
1912564055 Spokane Emergency Care Physicians Pllc Emergency Medicine 800 W 5th Ave, Spokane, WA 99204-2803 2019-05-23
1023671013 Neal Andrew Pickering Nurse Practitioner 800 W 5th Ave, Spokane, WA 99204-2803 2019-04-16
1114487949 Randy Gordon Scott Fleming Nurse Anesthetist, Certified Registered 800 W 5th Ave, Spokane, WA 99204 2019-03-19
1710460498 Joel Aiken Physician Assistant 800 W 5th Ave, Spokane, WA 99204 2018-09-10
1891278677 Kalie Grambeau Registered Nurse 800 W 5th Ave, Spokane, WA 99204-2803 2018-09-07
1396237608 Liberty Hanisch Registered Nurse 800 W 5th Ave, Spokane, WA 99204-2803 2018-06-01
1417449810 Brian Carroll Registered Nurse 800 W 5th Ave, Spokane, WA 99204-2803 2018-05-31
1356852164 Timothy Neal Cornwall Registered Nurse 800 W 5th Ave, Spokane, WA 99204 2017-10-19
1275042251 Brian Wilson Registered Nurse 800 W 5th Ave, Spokane, WA 99204 2017-09-22
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2083P0011X
Grouping Allopathic & Osteopathic Physicians
Classification Preventive Medicine
Specialization Undersea and Hyperbaric Medicine

Taxonomy Definition

A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437333473 Spokane Hyperbaric Center LLC Preventive Medicine 13007 E Misson Ave, Spokane, WA 99216 2007-12-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1720572928 Hyperbaric Centers of Washington Preventive Medicine 302 S. 12th Ave., Yakima, WA 98902 2018-06-20
1831166354 Tacoma Hyperbaric Billing, LLC Preventive Medicine 1717 So J St, St Joseph Medical Center- Hyperbaric Unit & Wound Clini, Tacoma, WA 98405 2006-03-02
1396725172 Michael J Oras Preventive Medicine Eodmu 11, 180 W Tulagi Ave, Oak Harbor, WA 98278-0001 2006-01-18
1609348358 Zephyr Holdings Inc Preventive Medicine 525 5th Ave S Ste 102, Edmonds, WA 98020-3612 2018-12-19
1063657377 Public Hospital Distrist No. 1 of Snohomish County Preventive Medicine 14701 179th Ave Se, Monroe, WA 98272-1108 2008-12-16
1891755914 James Kirk Wright Preventive Medicine 939 Caroline St, Port Angeles, WA 98362 2006-03-24
1659351260 Edwin Thomas Long Preventive Medicine 1 Boone Rd, Bremerton, WA 98312-1894 2006-01-19

Competitor

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City SPOKANE
Zip Code 99204

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Dataset Information

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.

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