MARCUS BACA (NPI# 1386062503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386062503 |
| Entity Type | Individual |
| Full Name | MARCUS BACA |
| Practice Address |
15812 E Indiana Ave Spokane Valley WA 99216-1875 |
| Mailing Address |
203 N Washington St Ste 300 Spokane WA 99201-0254 |
| Practice Telephone | 5094448888 |
| Practice Fax Number | 5094447806 |
| Mailing Telephone | 5094340390 |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2018-04-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD60758073 | WA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 203 N Washington St Ste 300, Spokane, WA 992010254 | (509) 434-0390 |
| Street Address |
15812 E INDIANA AVE |
| City | SPOKANE VALLEY |
| State | WA |
| Zip Code | 99216-1875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720047624 | Roberta L Knorr | Pediatrics | 15812 E Indiana Ave, Spokane Valley, WA 99216-1875 | 2006-03-20 |
| 1871127183 | Isabella Kae Clark | Registered Nurse | 15812 E Indiana Ave, Spokane Valley, WA 99216-1875 | 2020-02-25 |
| 1164062527 | Kendra Lemery | Physician Assistant | 15812 E Indiana Ave, Spokane Valley, WA 99216-1875 | 2020-01-13 |
| 1194379446 | Jessie Irene Frost | Registered Nurse | 15812 E Indiana Ave, Spokane Valley, WA 99216-1875 | 2019-07-25 |
| 1952888026 | Jennifer Renee Collins | Licensed Practical Nurse | 15812 E Indiana Ave, Spokane Valley, WA 99216-1875 | 2018-07-23 |
| 1962998856 | Iley Scott Copeland | Physician Assistant | 15812 E Indiana Ave, Spokane Valley, WA 99216 | 2018-07-03 |
| 1194210674 | Tamara Brower | Midwife | 15812 E Indiana Ave, Spokane Valley, WA 99216-1875 | 2018-06-26 |
| 1598255275 | Elise Rose | Advanced Practice Midwife | 15812 E Indiana Ave, Spokane Valley, WA 99216-1875 | 2018-05-17 |
| 1164921250 | Amber Rose Compton | Registered Nurse | 15812 E Indiana Ave, Spokane Valley, WA 99216-1875 | 2018-02-05 |
| 1568975456 | Rikki Jayne Miller | Marriage & Family Therapist | 15812 E Indiana Ave, Spokane Valley, WA 99216-1875 | 2017-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053920124 | Aark Laboratory | Clinical Medical Laboratory | 12709 E Mirabeau Pkwy Bldg A Ste 500, Spokane, WA 99216 | 2020-07-24 |
| 1922622158 | Vera Whole Health Wa, PC | Clinic/Center | 16009 E Indiana Ave, Spokane Valley, WA 99216 | 2020-06-03 |
| 1023654001 | Rebecca Elizabeth Ryan | Massage Therapist | 12505 E 23rd Ave, Spokane Valley, WA 99216 | 2019-11-25 |
| 1356992903 | Creative Communication LLC | Speech-Language Pathologist | 13607 E. Sprague Ave, Spokane Valley, WA 99216 | 2019-09-25 |
| 1972096584 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 15319 E Indiana Ave Ste 2, Spokane Valley, WA 99216 | 2018-06-08 |
| 1356845655 | Rp Operations, LLC | Assisted Living Facility | 13013 E Mission Ave, Spokane Valley, WA 99216 | 2018-03-21 |
| 1174036305 | Talk, Learn and Communicate | Speech-Language Pathologist | 13607 East Spraque Avenue, Spokane Valley, WA 99216 | 2017-11-09 |
| 1134638281 | Vtc Vitality Healthcare | Pain Medicine | 12409 E Mission Ave Ste 102, Spokane Valley, WA 99216 | 2017-09-20 |
| 1285150086 | Robert C Tsay Jr. | Pharmacist | 12415 E 12th Ave, Apt 110, Spokane Valley, WA 99216 | 2017-08-15 |
| 1629505607 | Spokane Valley Medical, Inc | Durable Medical Equipment & Medical Supplies | 12509 E. Mission Ave, Suite #103, Spokane, WA 99216 | 2017-05-22 |
| Find all providers in zip 99216 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659997831 | Lauren Elizabeth Strout | Pediatrics | 2510 N Pines Rd Ste 1, Spokane Valley, WA 99206-7636 | 2020-06-23 |
| 1679627285 | Deborah Harper | Pediatrics | 1414 N Vercler Rd Ste 1, Spokane Valley, WA 99216-1092 | 2007-01-22 |
| 1154489722 | Ann M Roberts | Pediatrics | 1414 N Vercler, Building 1, Spokane Valley, WA 99216-1092 | 2006-12-05 |
| 1023050200 | Ponrat Pakpreo | Pediatrics | 1212 N Pines Rd, Spokane Valley, WA 99206-4939 | 2006-06-12 |
| 1720047624 | Roberta L Knorr | Pediatrics | 15812 E Indiana Ave, Spokane Valley, WA 99216-1875 | 2006-03-20 |
| 1407831167 | Cicely Wilhite White | Pediatrics | 14402 E Sprague Ave, Group Health Veradale Medical Center, Spokane Valley, WA 99216-2167 | 2005-12-14 |
| 1427040203 | Mary K. Wagner | Pediatrics | 1414 N Vercler Rd, Building 1, Spokane Valley, WA 99216-1092 | 2005-08-18 |
| 1669869889 | Stephanie Posten | Pediatrics | 1414 N Vercler Rd Ste 1, Spokane Valley, WA 99216 | 2015-04-26 |
| 1720472996 | Yvette Greycen Dahl Rosser | Pediatrics | 16528 E Desmet Ct, Spokane Valley, WA 99216-3522 | 2015-03-25 |
| 1659582872 | Charlotte Esther Weeda | Pediatrics | 1414 N Vercler Rd, Bldg 1, Spokane Valley, WA 99216-1092 | 2007-05-28 |
| Find all providers in SPOKANE VALLEY | ||||
| City | SPOKANE VALLEY |
| Zip Code | 99216 |
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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.