INLAND NORTHWEST GENETICS CLINIC (NPI# 1518935329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518935329 |
| Entity Type | Organization |
| Organization Name | INLAND NORTHWEST GENETICS CLINIC |
| Practice Address |
2607 S Southeast Blvd Bldg. A100 Spokane WA 99223-4942 |
| Practice Telephone | 5095352278 |
| Practice Fax Number | 5095357502 |
| Mailing Telephone | 5095352278 |
| Mailing Fax Number | 5095357502 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JUDITH A MARTIN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5095352278 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 170100000X | Medical Genetics, Ph.D. Medical Genetics | Other Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | INLAND NORTHWEST GENETICS CLINIC | 2607 S Southeast Blvd, Bldg A100, Spokane, WA 99223 |
| Street Address |
2607 S SOUTHEAST BLVD BLDG. A100 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99223-4942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609387083 | James Leslie Foster | Physical Medicine & Rehabilitation | 2607 S Southeast Blvd, Spokane, WA 99223 | 2017-10-12 |
| 1235660929 | Megan Grace Wildes | Nurse Practitioner | 2607 S Southeast Blvd, Bldg. A, Spokane, WA 99223-4942 | 2017-03-23 |
| 1710433081 | 8 Days A Week Dental | Dentist | 2607 S Southeast Blvd, Suite B210, Spokane, WA 99223-4942 | 2016-08-28 |
| 1821351917 | David L Graves | Naturopath | 2607 S Southeast Blvd, B111, Spokane, WA 99223-4942 | 2012-06-22 |
| 1346501608 | Shancie Jenee Wagner | Dentist | 2607 S Southeast Blvd, B210, Spokane, WA 99223-4942 | 2012-06-04 |
| 1164799896 | Medicine Naturally Pllc | Pediatrics | 2607 S Southeast Blvd, B214, Spokane, WA 99223-4942 | 2011-11-23 |
| 1598061095 | Stillpoint Therapeutic Massage Pllc | Mechanotherapist | 2607 S Southeast Blvd, B-111, Spokane, WA 99223-4942 | 2011-01-31 |
| 1457679896 | Oscar German Haupt | Social Worker | 2607 S Southeast Blvd, Suite A-203, Spokane, WA 99223-4942 | 2010-05-10 |
| 1356576458 | Katherine Louise Crow | Mechanotherapist | 2607 S Southeast Blvd, Suite B-111, Spokane, WA 99223-4942 | 2009-05-19 |
| 1073724290 | Jamie Lee Lewis | Physical Medicine & Rehabilitation | 2607 S Southeast Blvd, Bldg. A, Spokane, WA 99223-4942 | 2007-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790253110 | The Anna Schindler Foundation Inc | Lodging | 2322 E 28th Ave, Spokane, WA 99223 | 2018-11-03 |
| 1174018113 | Taylor Bryant Etchart | Massage Therapist | 7040, 3209 E 57th Ave, Suite H, Spokane, WA 99223 | 2018-06-22 |
| 1366958415 | Jennifer Andrea Meroshnik | Massage Therapist | 3210 East 44th Ave, F301, Spokane, WA 99223 | 2017-12-26 |
| 1982060539 | Andrew John David Bingham | Nurse's Aide | 4202 S Regal St, Spokane, WA 99223 | 2016-01-12 |
| 1396118469 | Kerry Lee Traugott | Nurse Practitioner | 2405 E 17th Ave, Suite 113, Spokane, WA 99223 | 2015-11-11 |
| 1518335082 | Thomas Genthe | Psychologist | 5619 South Custer Rd., Spokane, WA 99223 | 2015-09-14 |
| 1346630035 | Inland Empire Therapy Associates | Occupational Therapist | 2527 E. 27th, Suite 100, Spokane, WA 99223 | 2015-02-02 |
| 1396080743 | Karin Lee Gilchrist | Dietitian, Registered | 3019 S. Lloyd Lane, Spokane, WA 99223 | 2012-12-11 |
| 1184968752 | Susan Marie Reynolds | Massage Therapist | 3010 S. Southeast Blvd, Suite A, Spokane, WA 99223 | 2012-11-20 |
| 1750638110 | Bobby E Kizer | Psychologist | 4219 E Prairie Lane Ct, Spokane, WA 99223 | 2012-08-04 |
| Find all providers in zip 99223 | ||||
| Taxonomy Code | 170100000X |
| Grouping | Other Service Providers |
| Classification | Medical Genetics, Ph.D. Medical Genetics |
| A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. |
| Notes: A general certificate was first issued by ABMS in 1982. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851349625 | Bassem Bejjani | Medical Genetics, Ph.D. Medical Genetics | 44 W 6th Ave, Suite 202, Spokane, WA 99204-2306 | 2006-05-04 |
| 1578511937 | Lisa G. Shaffer | Medical Genetics, Ph.D. Medical Genetics | 44 W 6th Ave, Suite 202, Spokane, WA 99204-2306 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861758955 | Debra King | Medical Genetics, Ph.D. Medical Genetics | 9812 Ne 26th Ave, Vancouver, WA 98665-5716 | 2012-04-03 |
| 1073790861 | Eleanor Sutherland M.d. | Medical Genetics, Ph.D. Medical Genetics | 5100 Sw 316th Place, Federal Way, WA 98023-2037 | 2008-01-24 |
| 1922392133 | Walaa Alshuaibi | Medical Genetics, Ph.D. Medical Genetics | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2011-06-06 |
| 1689832370 | Christine M Disteche | Medical Genetics, Ph.D. Medical Genetics | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2008-05-29 |
| 1396942728 | Bettina Dara Ramick | Medical Genetics, Ph.D. Medical Genetics | 25658 104th Ave Se, Kent, WA 98030-7610 | 2007-06-29 |
| 1972705622 | Karen Ann Nelson | Medical Genetics, Ph.D. Medical Genetics | 921 Terry Ave, Seattle, WA 98104-1239 | 2007-06-04 |
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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.