WA-SPOK MEDICAL CARE LLC (NPI# 1649420019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649420019 |
| Entity Type | Organization |
| Organization Name | WA-SPOK MEDICAL CARE LLC |
| Practice Address |
801 W Fifth Ave Suite 422 Spokane WA 99204-2841 |
| Practice Telephone | 5094737250 |
| Practice Fax Number | 5094733033 |
| Mailing Telephone | 5094737250 |
| Mailing Fax Number | 5094733033 |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2012-02-01 |
| Authorized Official Name | DEBBIE BREWER (DIRECTOR) |
| Authorized Official Telephone | 8778929813 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 2084H0002X |
Psychiatry & Neurology Specialization: Hospice and Palliative Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | DEPT L&I | 0242178 | 01 |
| WA | 7144553 | 05 |
| Street Address |
801 W FIFTH AVE SUITE 422 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99204-2841 |
| 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 | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356952766 | Nvelup Telehealth Pllc | Psychiatry & Neurology | 804 N Monroe St Ste 502, Spokane, WA 99201-2110 | 2020-08-11 |
| 1609493105 | Voyager Behavioral Health Pllc | Psychiatry & Neurology | 1715 W Rain Ln, Spokane, WA 99208-5091 | 2020-06-30 |
| 1265871578 | Erik Keith Loraas | Psychiatry & Neurology | 5633 N Lidgerwood St Ste 107, Spokane, WA 99208 | 2013-06-19 |
| 1174880454 | Kelly E Wurzel | Psychiatry & Neurology | 624 E. Front Ave, Spokane, WA 99204 | 2012-04-11 |
| 1548494461 | Amy Dowell | Psychiatry & Neurology | 324 E Sharp Ave, Spokane, WA 99202-1836 | 2009-05-06 |
| 1346484276 | Sara M Clark | Psychiatry & Neurology | 235 E Rowan Ave Ste 107, Spokane, WA 99207 | 2009-04-22 |
| 1871740571 | Transition Associates Ps | Psychiatry & Neurology | 1704 W 11th Ave, Spokane, WA 99204-4110 | 2008-08-25 |
| 1437338167 | Gregory Belenky | Psychiatry & Neurology | 166 S Coeur Dalene St, #d203, Spokane, WA 99201-6452 | 2007-10-30 |
| 1699811224 | James Clifford Green | Psychiatry & Neurology | 105 West 8th Ave, Ste 408, Spokane, WA 99204-2318 | 2007-01-30 |
| 1689753550 | Rufino R Ramos | Psychiatry & Neurology | 102 S Division St, Spokane, WA 99202-1511 | 2006-11-03 |
| Find all providers in SPOKANE | ||||
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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.