NORTHWEST SPINE AND PAIN MEDICINE, PLLC (NPI# 1669789228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669789228 |
| Entity Type | Organization |
| Organization Name | NORTHWEST SPINE AND PAIN MEDICINE, PLLC |
| Other Organization Name | NORTHWEST SPINE AND PAIN MEDICINE |
| Practice Address |
3124 S Regal St Spokane WA 99223-4704 |
| Mailing Address |
Po Box 112 Spokane WA 99210-0112 |
| Practice Telephone | 5094646208 |
| Practice Fax Number | 8883161928 |
| Mailing Telephone | 5094646208 |
| Mailing Fax Number | 8883161928 |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2019-08-26 |
| Authorized Official Name | JAMIE LEE LEWIS (CEO) |
| Authorized Official Telephone | 5094646208 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Northwest Spine and Pain Medicine | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | NORTHWEST SPINE AND PAIN MEDICINE, PLLC | 3124 S Regal St, Spokane, WA 99223 |
| Street Address |
3124 S REGAL ST |
| City | SPOKANE |
| State | WA |
| Zip Code | 99223-4704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952334195 | Ghassan S Nemri | Anesthesiology | 3124 S Regal St, Spokane, WA 99223-4704 | 2006-07-09 |
| 1710537667 | Michelle Brothers | Nurse Practitioner | 3124 S Regal St, Spokane, WA 99223-4704 | 2019-09-12 |
| 1053856443 | Ashley Ann Baggott | Nurse Practitioner | 3124 S Regal St, Spokane, WA 99223-4704 | 2016-12-21 |
| 1689059164 | Andrew Michael Garten | Physician Assistant | 3124 S Regal St, Spokane, WA 99223-4704 | 2015-07-24 |
| 1962898403 | Xiang Jing | Nurse Practitioner | 3124 S Regal St, Spokane, WA 99223-4704 | 2015-04-10 |
| 1366712796 | David W Springer | Physical Therapist | 3124 S Regal St, Spokane, WA 99223-4704 | 2012-01-02 |
| 1861546129 | Sean Smitham | Psychologist | 3124 S Regal St, Spokane, WA 99223-4704 | 2007-01-23 |
| 1730264334 | Pamela M. Clark | Psychologist | 3124 S Regal St, Spokane, WA 99223-4704 | 2006-10-25 |
| 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 | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043822372 | Bryan Scott Lebo | Clinic/Center | 9425 N Nevada St Ste 300, Spokane, WA 99218-1286 | 2020-08-18 |
| 1518469147 | Inland Medical Evaluations | Clinic/Center | 323 E 2nd Ave, Spokane, WA 99202-1455 | 2018-02-28 |
| 1649561622 | Kaiser Foundation Health Plan of Washington | Clinic/Center | 4102 S Regal St, Suite 101, Spokane, WA 99223-5083 | 2011-04-26 |
| 1104117183 | Kaiser Foundation Health Plan of Washington | Clinic/Center | 6002 N Lidgerwood St, Spokane, WA 99208-1124 | 2011-04-26 |
| 1194016170 | Kaiser Foundation Health Plan of Washington | Clinic/Center | 322 W North River Dr, Spokane, WA 99201-3208 | 2011-04-26 |
| 1518167923 | Spokane Spine Center PC | Clinic/Center | 124 E Rowan Ave, Suite 202, Spokane, WA 99207-1214 | 2007-07-23 |
| 1073720538 | Columbia Medical Associates, LLC | Clinic/Center | 1003 E Trent Ave, Suite 150, Spokane, WA 99202-2180 | 2007-05-16 |
| 1336186105 | Physicians Clinic of Spokane Ps | Clinic/Center | 820 S Mcclellan, #ll10, Spokane, WA 99204 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326676818 | Nocd Washington PC | Clinic/Center | 2320 130th Ave Ne Ste 110, Bellevue, WA 98005-1752 | 2020-03-30 |
| 1922635887 | Cascade Nurse Practitioners | Clinic/Center | 5409 100th St Sw Unit 39800, Lakewood, WA 98496-0970 | 2020-03-23 |
| 1942735667 | The Evergreen At Northpoint | Clinic/Center | 2111 N Northgate Way Ste 101, Seattle, WA 98133-9018 | 2017-05-01 |
| 1174061543 | Antares Wellness Pllc | Clinic/Center | 9319 7th Ave S, Seattle, WA 98108-4604 | 2017-02-06 |
| 1962852038 | Northwest Pain Relief Centers, LLC | Clinic/Center | 503 W Fir St, Suite D, Sequim, WA 98382-3210 | 2016-06-20 |
| 1851741698 | Marconi Chiropractic and Wellness | Clinic/Center | 11207 Mccutcheon Rd, Bonney Lake, WA 98391-8103 | 2016-06-13 |
| 1356738694 | Northwest Pain Relief Centers LLC | Clinic/Center | 7424 Bridgeport Way W Ste 305, Lakewood, WA 98499-8135 | 2015-04-24 |
| 1306231170 | Objective Medical Assessments Corp | Clinic/Center | 401 2nd Ave S, #110, Seattle, WA 98104-3858 | 2015-03-30 |
| 1477946754 | Rose Urgent Care and Family Practice | Clinic/Center | 650 N Devine Rd Ste B, Vancouver, WA 98661-6979 | 2015-03-11 |
| 1336549609 | Ranger Group Pllc | Clinic/Center | 16150 Ne 85th St Ste 110, Redmond, WA 98052-3541 | 2014-08-24 |
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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.