MARA LEA GEFFKEN


Address: 605 E Holland, Suite 218, Spokane, WA 99218-1246
Phone: 5094446367

MARA LEA GEFFKEN (NPI# 1942289392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942289392
Entity Type Individual
Full Name MARA LEA GEFFKEN
Credential PA-C
Practice Address 605 E Holland
Suite 218
Spokane
WA 99218-1246
Practice Telephone 5094446367
Practice Fax Number 5094446371
Mailing Telephone 5094446367
Mailing Fax Number 5094446371
Enumeration Date 2006-01-13
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA10004913 WA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA DEA MG1315197 01
WA 8440760 05

Office Location

Street Address 605 E HOLLAND
SUITE 218
City SPOKANE
State WA
Zip Code 99218-1246

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1902295363 Annabelle Morgan Midwife 11725 N Lincoln Ct, Spokane, WA 99218 2015-01-22
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104273648 Grant Bursell Physician Assistant 5316 E Sumac Ln, Spokane, WA 99223-5090 2016-05-14
1881093904 Jacob Gott Physician Assistant 122 W 7th Ave Ste 420, Spokane, WA 99204-2330 2014-08-14
1235215856 Kurt D Fullmer Physician Assistant 406 E Rowan Ave, Suite200, Spokane, WA 99207-1243 2006-10-27
1689782740 Lori Tschetter Physician Assistant 42 E Rowan Ave Ste A, Spokane, WA 99207-1212 2006-08-29
1316973498 Daniel Ray Keele Physician Assistant 4815nwassembly, Spokane, WA 99205 2006-06-23
1386606093 Kathleen Elizabeth Moudy Physician Assistant 9911 N Nevada St, Spokane, WA 99218-1298 2006-04-06
1750359154 Terri J Roark Physician Assistant 911 W 5th Avenue, Spokane, WA 99204 2006-03-10
1285611665 Amy M Gregg Physician Assistant 105 W 8th, Spokane, WA 99204-2304 2005-12-28
1215913850 Marc A. Hawkins Physician Assistant 310 N Riverpoint Blvd Health Science Bldg #280-j, University of Washington Medex Nw Pa Program, Spokane, WA 99202 2005-12-15
1487210878 Devon Graves Physician Assistant 62 W 7th Ave Ste 450, Spokane, WA 99204 2019-05-12
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Competitor

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City SPOKANE
Zip Code 99218

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Dataset Information

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.

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