PALOUSE SPECIALTY PHYSICIANS, P.S. (NPI# 1760889265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760889265 |
| Entity Type | Organization |
| Organization Name | PALOUSE SPECIALTY PHYSICIANS, P.S. |
| Other Organization Name | PALOUSE ENT & AUDIOLOGY |
| Practice Address |
825 Se Bishop Blvd Suite 601 Pullman WA 99163-5517 |
| Mailing Address |
Po Box 847 Pullman WA 99163-0847 |
| Practice Telephone | 5093345876 |
| Practice Fax Number | 5093328793 |
| Mailing Telephone | 5093326139 |
| Mailing Fax Number | 5093326579 |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2019-07-25 |
| Authorized Official Name | MR. SCOTT ADAMS (CEO) |
| Authorized Official Telephone | 5093322541 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0008X |
Psychiatry & Neurology Specialization: Neuromuscular Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 231H00000X | Audiologist | Speech, Language and Hearing Service Providers | ||
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Palouse ENT & Audiology | Doing Business As Name - Organization |
| Palouse Neurology | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2400 W A St, Moscow, ID 838434902 | 2088137519 | 2088137524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407499445 | Palouse Specialty Physicians, P.s. | Psychiatry & Neurology | 2400 W A St Ste G, Moscow, ID 83843-4902 | 2019-10-22 |
| 1548667421 | Palouse Specialty Physicians, P.s. | Otolaryngology | 825 Se Bishop Blvd, Suite 501, Pullman, WA 99163-5517 | 2014-11-20 |
| Street Address |
825 SE BISHOP BLVD SUITE 601 |
| City | PULLMAN |
| State | WA |
| Zip Code | 99163-5517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427040823 | Derrick A Walker | Surgery | 825 Se Bishop Blvd, Suite 130, Pullman, WA 99163-5517 | 2005-08-22 |
| 1942757190 | Rutendo Chikuku | Audiologist | 825 Se Bishop Blvd, 601, Pullman, WA 99163-5517 | 2016-09-06 |
| 1851764500 | Barbara Bennett-wolcott | Advanced Practice Midwife | 825 Se Bishop Blvd, Suite 200, Pullman, WA 99163-5517 | 2015-11-03 |
| 1073989489 | Nicole Clements | Specialist/Technologist | 825 Se Bishop Blvd, Suite 120, Pullman, WA 99163-5517 | 2015-08-19 |
| 1548667421 | Palouse Specialty Physicians, P.s. | Otolaryngology | 825 Se Bishop Blvd, Suite 501, Pullman, WA 99163-5517 | 2014-11-20 |
| 1750704896 | Northwest Pharmacy Services Inc | Pharmacy | 825 Se Bishop Blvd, Ste 301, Pullman, WA 99163-5517 | 2014-01-24 |
| 1518395763 | Heather N Davis-remacle | Physician Assistant | 825 Se Bishop Blvd, Ste 200, Pullman, WA 99163-5517 | 2013-10-25 |
| 1285076737 | Nancy Bishop Panko | Surgery | 825 Se Bishop Blvd, Pullman, WA 99163-5517 | 2013-07-25 |
| 1447690672 | Corinne Elizabeth Gaddis | Specialist/Technologist | 825 Se Bishop Blvd, Suite 120, Pullman, WA 99163-5517 | 2013-07-02 |
| 1740593672 | Providence Health & Services | Internal Medicine | 825 Se Bishop Blvd, 140, Pullman, WA 99163-5517 | 2010-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003445255 | Jennifer Beattie | Specialist/Technologist | 1360 Cougar Way, Pullman, WA 99163 | 2020-04-08 |
| 1245715788 | Chirs Sader | Specialist/Technologist | Cougar Way, Bohler Addition, Pullman, WA 99163 | 2018-10-01 |
| 1588158307 | Stefanie Clark | Massage Therapist | 1205 Se Bishop Blvd, Suite #109, Pullman, WA 99163 | 2018-06-15 |
| 1023523859 | Madeleine Degrasse | Specialist/Technologist | 1580 Ne Cougar Way, 265, Coleman, WA 99163 | 2017-12-01 |
| 1720517188 | Chelsea Michelle Luna | Specialist/Technologist | 705 Nw State St, Pullman, WA 99163 | 2017-06-08 |
| 1649706185 | Travis Reid Edwards | Specialist/Technologist | 1455 Ne Colorado St, Pullman, WA 99163 | 2017-05-03 |
| 1053775403 | Anna Grindeland | Dietitian, Registered | 555 Se Water St, Pullman, WA 99163 | 2016-04-12 |
| 1487991741 | Yoko Jingi | Specialist/Technologist | 1225 S Grand Ave., Pullman, WA 99163 | 2013-01-07 |
| 1003151572 | Jessie M Armstrong | Speech-Language Pathologist | 1805 Nw Canyonview Drive, Pullman, WA 99163 | 2012-12-10 |
| 1679827877 | Schweitzer Engineering Laboratories | Clinic/Center | 2440 Ne Hopkins Ct., Pullman, WA 99163 | 2012-11-09 |
| Find all providers in zip 99163 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346377249 | Palouse Ent, LLC | Otolaryngology | 825 Se Bishop Blvd Ste 130, Pullman, WA 99163-5517 | 2007-02-27 |
| 1548667421 | Palouse Specialty Physicians, P.s. | Otolaryngology | 825 Se Bishop Blvd, Suite 501, Pullman, WA 99163-5517 | 2014-11-20 |
| 1710218839 | Pullman Regional Hospital Clinic Network, LLC | Otolaryngology | 825 Se Bishop Blvd, Suite 601, Pullman, WA 99163-5517 | 2010-01-29 |
| 1598887861 | Timothy Wright Goodrich | Otolaryngology | 825 Se Bishop Blvd, Suite 601, Pullman, WA 99163-5517 | 2007-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093220980 | Sound E.n.t. Consultants, LLC | Otolaryngology | 406 Yauger Way Sw Ste B, Olympia, WA 98502-8151 | 2017-12-13 |
| 1104203793 | Eric Andrew Eisen | Otolaryngology | 8301 161st Ave Ne Ste 102, Redmond, WA 98052-3858 | 2015-05-03 |
| 1598182990 | Annie Kyunga Ahn | Otolaryngology | 4033 Talbot Rd S Ste 540, Renton, WA 98055 | 2014-03-24 |
| 1760810311 | Gerald Guy Randolph | Otolaryngology | 10491 E State Route 106, Union, WA 98592 | 2013-10-17 |
| 1689007320 | Aria Jafari | Otolaryngology | 1959 Ne Pacific St # 356515, Seattle, WA 98195-3729 | 2013-08-16 |
| 1326306317 | Priyanka Shah O'brien | Otolaryngology | 1801 1st Ave Ste 3a, Longview, WA 98632-3271 | 2012-04-26 |
| 1033486402 | Richard J. Cavell | Otolaryngology | 1013 Marshall Dr, Camano Island, WA 98282-8787 | 2011-11-29 |
| 1457628497 | Robin Lee Downey | Otolaryngology | 4020 Aurora Ave N Apt 410, Seattle, WA 98103-7882 | 2011-11-18 |
| 1588955785 | Nicholas C Vanburen | Otolaryngology | 1424 N Mcdonald Rd Ste 101, Spokane Valley, WA 99216-6017 | 2011-04-22 |
| 1881925956 | Steve Lars Risa | Otolaryngology | 4538 177th Ave Se, Bellevue, WA 98006-6519 | 2010-01-28 |
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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.