T DANIEL DIBBLE MD PC (NPI# 1780754499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780754499 |
| Entity Type | Organization |
| Organization Name | T DANIEL DIBBLE MD PC |
| Other Organization Name | SPINE TEAM SPOKANE |
| Practice Address |
1117 North Evergreen Rd Suite 2 Spokane WA 99216-1138 |
| Mailing Address |
Po Box 808 Veradale WA 99037-0808 |
| Practice Telephone | 5093633100 |
| Practice Fax Number | 5093630300 |
| Mailing Telephone | 5093633100 |
| Mailing Fax Number | 5093630300 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2012-01-04 |
| Authorized Official Name | DR. T DANIEL DIBBLE (PRESIDENT) |
| Authorized Official Telephone | 5093633100 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
M-7950 | ID | Allopathic & Osteopathic Physicians |
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
MD00042632 | WA | Allopathic & Osteopathic Physicians |
| N | 225100000X | Physical Therapist | PT60041936 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 363A00000X | Physician Assistant | PA10003398 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
MD00048246 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 805808900 | 05 | |
| WA | LABOR AND INDUSTRIES | 217798 | 01 |
| Other Name | Type Code |
|---|---|
| SPINE TEAM SPOKANE | Doing Business As Name - Organization |
| Street Address |
1117 NORTH EVERGREEN RD SUITE 2 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99216-1138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053920124 | Aark Laboratory | Clinical Medical Laboratory | 12709 E Mirabeau Pkwy Bldg A Ste 500, Spokane, WA 99216 | 2020-07-24 |
| 1922622158 | Vera Whole Health Wa, PC | Clinic/Center | 16009 E Indiana Ave, Spokane Valley, WA 99216 | 2020-06-03 |
| 1023654001 | Rebecca Elizabeth Ryan | Massage Therapist | 12505 E 23rd Ave, Spokane Valley, WA 99216 | 2019-11-25 |
| 1356992903 | Creative Communication LLC | Speech-Language Pathologist | 13607 E. Sprague Ave, Spokane Valley, WA 99216 | 2019-09-25 |
| 1972096584 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 15319 E Indiana Ave Ste 2, Spokane Valley, WA 99216 | 2018-06-08 |
| 1356845655 | Rp Operations, LLC | Assisted Living Facility | 13013 E Mission Ave, Spokane Valley, WA 99216 | 2018-03-21 |
| 1174036305 | Talk, Learn and Communicate | Speech-Language Pathologist | 13607 East Spraque Avenue, Spokane Valley, WA 99216 | 2017-11-09 |
| 1134638281 | Vtc Vitality Healthcare | Pain Medicine | 12409 E Mission Ave Ste 102, Spokane Valley, WA 99216 | 2017-09-20 |
| 1285150086 | Robert C Tsay Jr. | Pharmacist | 12415 E 12th Ave, Apt 110, Spokane Valley, WA 99216 | 2017-08-15 |
| 1629505607 | Spokane Valley Medical, Inc | Durable Medical Equipment & Medical Supplies | 12509 E. Mission Ave, Suite #103, Spokane, WA 99216 | 2017-05-22 |
| Find all providers in zip 99216 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316978281 | Scott Edward Grosse | Physical Medicine & Rehabilitation | 801 W 5th Ave Ste 323, Spokane, WA 99204-2800 | 2006-07-06 |
| 1912900994 | Dan C Wilcox | Physical Medicine & Rehabilitation | 124 E Rowan Ave Ste 202, Spokane, WA 99207-1214 | 2005-05-24 |
| 1609387083 | James Leslie Foster | Physical Medicine & Rehabilitation | 2607 S Southeast Blvd, Spokane, WA 99223 | 2017-10-12 |
| 1073724290 | Jamie Lee Lewis | Physical Medicine & Rehabilitation | 2607 S Southeast Blvd, Bldg. A, Spokane, WA 99223-4942 | 2007-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487122339 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 11820 Ne Crestwood Dr Ste 100, Vancouver, WA 98684-5103 | 2018-11-08 |
| 1336511989 | Pain & Wellness Institute, Pllc | Physical Medicine & Rehabilitation | 819 Virginia Street, Unit 1805, Seattle, WA 98101 | 2015-10-22 |
| 1437397361 | Franciscan Medical Group | Physical Medicine & Rehabilitation | 1624 S. I St., Ste 205, Tacoma, WA 98405-5000 | 2009-01-30 |
| 1568635365 | Stephen M Dechter | Physical Medicine & Rehabilitation | 9915 Sandifur Pkwy Ste B, Pasco, WA 99301-8941 | 2008-04-12 |
| 1871777268 | Jason Gene Attaman | Physical Medicine & Rehabilitation | 1600 116th Ave Ne Ste 204, Bellevue, WA 98004-3056 | 2007-12-21 |
| 1003032186 | James A Williams Jr. | Physical Medicine & Rehabilitation | 7401 S Pine St, Suite B, Tacoma, WA 98409-5918 | 2007-04-17 |
| 1326061938 | Richard A Sandler | Physical Medicine & Rehabilitation | 21200 72nd Ave W, Edmonds, WA 98026-7700 | 2006-07-25 |
| 1184660029 | Jean You | Physical Medicine & Rehabilitation | 6917 W Grandridge Blvd Ste B, Kennewick, WA 99336 | 2006-06-21 |
| 1861486367 | Chan Sun Hwang | Physical Medicine & Rehabilitation | 9312 S Tacoma Way Ste 115, Lakewood, WA 98499-4474 | 2005-09-12 |
| 1386636934 | David L Heard | Physical Medicine & Rehabilitation | 21600 Hwy 99, Suite 255, Edmonds, WA 98026-8012 | 2005-08-19 |
| Find all providers with the same taxonomy | ||||
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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.