CMDPN MEDICAL GROUP OF WASHINGTON, P.C.


Address: 707 West Main Ave. Ste B1, Pmb 117, Spokane, WA 99201
Phone: 7209960522

CMDPN MEDICAL GROUP OF WASHINGTON, P.C. (NPI# 1316422454) 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) 1316422454
Entity Type Organization
Organization Name CMDPN MEDICAL GROUP OF WASHINGTON, P.C.
Practice Address 707 West Main Ave. Ste B1
Pmb 117
Spokane
WA 99201
Mailing Address 3513 Brighton Blvd Ste 230
Denver
CO 80216-3606
Practice Telephone 7209960522
Mailing Telephone 9162154554
Enumeration Date 2018-09-25
Last Update Date 2019-03-21
Authorized Official Name DR. JOHN DUTTON (MEDICAL DIRECTOR)
Authorized Official Telephone 9162154554
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207PE0004X Emergency Medicine
Specialization: Emergency Medical Services
Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
3513 Brighton Blvd Ste 230, Denver, CO 802163606 9162154554

Other Data Sources

Entity Type Entity Name Entity Address
Washington State Corporations CMDPN MEDICAL GROUP OF WASHINGTON, P.C. 3513 Brighton Blvd, Suite 230, Denver, CO 80216

Office Location

Street Address 707 WEST MAIN AVE. STE B1
PMB 117
City SPOKANE
State WA
Zip Code 99201

Providers in the same zip code

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
1972085967 Michelle Villanueva Counselor 910 W Boone, Spokane, WA 99201 2018-09-05
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Taxonomy Information

Taxonomy Code 207PE0004X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine
Specialization Emergency Medical Services

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982820965 Travis Wade Dierks Emergency Medicine 800 W 5th Ave, Spokane, WA 99204-2803 2007-04-18
1003887720 Brooks Thomas Laselle Emergency Medicine 101 W 8th Ave, Spokane, WA 99204-2307 2006-01-30

Providers in the same taxonomy and state

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
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Competitor

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City SPOKANE
Zip Code 99201

Improve Information

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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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