DR. GWYNETH BLATTAU (NPI# 1932258522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932258522 |
| Entity Type | Individual |
| Full Name | DR. GWYNETH BLATTAU |
| Credential | MD |
| Practice Address |
12519 N Division St Suite 6 Spokane WA 99218-1389 |
| Mailing Address |
12519 N Division St Suite 6 Spokane WA 99218-1936 |
| Practice Telephone | 5092906149 |
| Practice Fax Number | 8554749086 |
| Mailing Telephone | 5092906149 |
| Mailing Fax Number | 8554749086 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2015-02-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
MD60271577 | WA | Ambulatory Health Care Facilities |
| Street Address |
12519 N DIVISION ST SUITE 6 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99218-1389 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891282455 | Timary Mathena | Specialist/Technologist | 11107 North Astor Road, Spokane, WA 99218 | 2018-04-19 |
| 1619423316 | Hi5 Orthodontics | Clinic/Center | 9425 N Nevaa, Suite 100, Spokane, WA 99218 | 2016-09-01 |
| 1245689389 | Heather Beats | Massage Therapist | 101 E. Hastings Rd. Ste G, Spokane, WA 99218 | 2016-06-09 |
| 1770979411 | Sparks Massage LLC-dba Elements Masssage | Massage Therapist | 101 E. Hastings Rd., Spokane, WA 99218 | 2015-04-09 |
| 1902295363 | Annabelle Morgan | Midwife | 11725 N Lincoln Ct, Spokane, WA 99218 | 2015-01-22 |
| 1578967543 | Deana Marie Ray | Massage Therapist | 1231 N Division, Ste 105, Spokane, WA 99218 | 2014-10-20 |
| 1770909889 | Krista Dye | Occupational Therapist | 9827 N Nevada, Spokane, WA 99218 | 2014-03-13 |
| 1265855845 | Breanna Zeis | Massage Therapist | 624 W. Hastings, Suite 16, Spokane, WA 99218 | 2014-02-02 |
| 1730516642 | Christie Nygaard | Massage Therapist | 101 E. Hastings Rd, Spokane, WA 99218 | 2013-10-09 |
| 1629312749 | Michelle Reid | Community Health Worker | 10709 N Madison, Spokane, WA 99218 | 2012-11-15 |
| Find all providers in zip 99218 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578797791 | Women's Health Connection Ambulatory Surgery Center | Clinic/Center | 9425 N Nevada St, Suite 300, Spokane, WA 99218-5014 | 2009-05-04 |
| 1659553659 | Roger D. Fincher, M.d., P.s. | Clinic/Center | 801 W. 5th Avenue, Suite 525, Spokane, WA 99203-2842 | 2007-11-30 |
| 1184083917 | William L. Brown, Md, Pllc | Clinic/Center | 906 W 2nd Ave, Ste 600, Spokane, WA 99201-4538 | 2016-02-22 |
| 1417240920 | M.a. Dewood, M.d.,p.s. | Clinic/Center | 901 N Monroe St, Suite 250, Spokane, WA 99201-2104 | 2011-05-17 |
| 1821327123 | Tlc Wellness, LLC | Clinic/Center | 105 W 8th Ave, Suite 400, Spokane, WA 99204-2302 | 2009-12-15 |
| 1144406638 | Spokane Neurology Pllc | Clinic/Center | 12519 N Division St Ste 4, Spokane, WA 99218-1936 | 2008-01-14 |
| 1275661423 | Valerie Kay Logsdon | Clinic/Center | 315 W 9th Ave, Suite 200, Spokane, WA 99204-2501 | 2007-03-01 |
| 1730121047 | Northwest Cardiac and Vascular Imaging, LLC | Clinic/Center | 122 W 7th Ave, Suite 545, Spokane, WA 99204-2349 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619592946 | Inner Vitality Pllc | Clinic/Center | 11711 Ne 12th St Ste 1a, Bellevue, WA 98005-2461 | 2020-06-12 |
| 1578057337 | Regenerative Medicine Northwest | Clinic/Center | 1260 116th Ave Ne Ste 200, Bellevue, WA 98004-3800 | 2018-06-15 |
| 1154837854 | Pacific Northwest Lactation, LLC | Clinic/Center | 708 S Cushman Ave, Tacoma, WA 98405-3625 | 2017-12-18 |
| 1275052458 | Peninsula Spine Institute, Ps | Clinic/Center | 804 Callahan Dr Ste A, Bremerton, WA 98310-3307 | 2017-09-19 |
| 1477097251 | Cynthia D Gray Md PC | Clinic/Center | 2101 Ne 139th St Ste 285, Vancouver, WA 98686-2326 | 2016-12-13 |
| 1811377484 | Knead To Heal, LLC | Clinic/Center | 2312 Rucker Ave, Everett, WA 98201-2723 | 2015-06-09 |
| 1699185348 | Duane Fredrick Hopp | Clinic/Center | 22612 126th Ave E, Graham, WA 98338-6725 | 2014-05-03 |
| 1689919292 | Poma Fertility, LLC | Clinic/Center | 12039 Ne 128th St Ste 110, Kirkland, WA 98034-3030 | 2012-12-07 |
| 1275888232 | Massage Mundo | Clinic/Center | 423 Eastlake Ave E, Seattle, WA 98109-5408 | 2012-07-16 |
| 1144536079 | 3-d Diagnostics, LLC | Clinic/Center | 2616 Yelm Hwy Se Ste A, Olympia, WA 98501-0800 | 2010-08-30 |
| 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.