SANDRA L. FORNWALT (NPI# 1588660427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588660427 |
| Entity Type | Individual |
| Full Name | SANDRA L. FORNWALT |
| Credential | M.D. |
| Practice Address |
101 W 8th Ave Suite 1100 Spokane WA 99204-2307 |
| Mailing Address |
Po Box 421 Liberty Lake WA 99019-0421 |
| Practice Telephone | 5094744060 |
| Practice Fax Number | 5094746198 |
| Mailing Telephone | 8667472455 |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2015-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
MD00049202 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 407023200 | 05 |
| Street Address |
101 W 8TH AVE SUITE 1100 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99204-2307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003819319 | Sacred Heart Medical Center | General Acute Care Hospital | 101 W 8th Ave, Spokane, WA 99204-2307 | 2005-05-31 |
| 1124626841 | Melissa Ann Benson | Respiratory Therapist, Registered | 101 W 8th Ave, Spokane, WA 99204-2307 | 2020-10-14 |
| 1184236671 | Margaret Ann Warren | Physical Therapist | 101 W 8th Ave, Spokane, WA 99204-2307 | 2020-08-18 |
| 1265044747 | Melyssa Carlson | Registered Nurse | 101 W 8th Ave, Spokane, WA 99204-2307 | 2020-08-17 |
| 1760091276 | Corle Morefield | Pharmacist | 101 W 8th Ave, Spokane, WA 99204-2307 | 2020-07-30 |
| 1174143663 | Ashley Kay Gardiner | Student in an Organized Health Care Education/Training Program | 101 W 8th Ave, Spokane, WA 99204-2307 | 2020-04-24 |
| 1265061485 | Mary Katherine Griessmann | Social Worker | 101 W 8th Ave, Spokane, WA 99204-2307 | 2020-04-08 |
| 1558990994 | Ingrid Mary Agnew | Social Worker | 101 W 8th Ave, Spokane, WA 99204-2307 | 2020-04-07 |
| 1952930562 | Cody Key | Student in an Organized Health Care Education/Training Program | 101 W 8th Ave, Spokane, WA 99204-2307 | 2020-04-06 |
| 1417586173 | Samuel Logan | Student in an Organized Health Care Education/Training Program | 101 W 8th Ave, Spokane, WA 99204-2307 | 2020-04-05 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 99204 | ||||
| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326154881 | James Vincent Brasch | Obstetrics & Gynecology | 212 E Central Ave Ste 340, Spokane, WA 99208-6289 | 2006-08-21 |
| 1821104399 | Kurt Pettis Fine | Obstetrics & Gynecology | 212 E Central Ave Ste 340, Spokane, WA 99208-6289 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215498779 | Community Pregnancy Center of Camas/washougal | Obstetrics & Gynecology | 2926 E St, Washougal, WA 98671-2021 | 2019-03-27 |
| 1720422512 | Options360 Women's Clinic | Obstetrics & Gynecology | 221 Ne 104th Ave Ste 209, Vancouver, WA 98664-4505 | 2013-04-23 |
| 1174673214 | Theresa Agnes Burdick | Obstetrics & Gynecology | 801 Broadway Ste 707, Seattle, WA 98122-4328 | 2007-01-11 |
| 1801988878 | Daniel E Bahnmiller | Obstetrics & Gynecology | 138 Keene Rd, Richland, WA 99352-8683 | 2006-09-28 |
| 1154313674 | Candace C Green | Obstetrics & Gynecology | 2630 N Columbia Center Blvd, Suite B, Richland, WA 99352-4853 | 2005-08-19 |
| 1093350977 | Roseline Buyeka | Obstetrics & Gynecology | 3815 S Othello St, Seattle, WA 98118-3510 | 2019-11-14 |
| 1154863157 | Waterfalls Longevity Center Pllc | Obstetrics & Gynecology | 9144 Burnett Rd Se, Ste B-3, Yelm, WA 98597-8488 | 2016-11-08 |
| 1306295605 | Lorraine Robertsonmd | Obstetrics & Gynecology | 12520 Sunrise Dr Ne, Bainbridge Island, WA 98110-4307 | 2016-06-07 |
| 1710394572 | Caitlin Schuh | Obstetrics & Gynecology | 9040 Jackson Ave, Tacoma, WA 98431-7324 | 2014-07-14 |
| 1790120145 | Malcolm William, George Hardy | Obstetrics & Gynecology | 320 W Willow St, Walla Walla, WA 99362-2922 | 2013-04-29 |
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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.