PROVIDENCE HEALTH & SERVICES - WASHINGTON (NPI# 1942513874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942513874 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HEALTH & SERVICES - WASHINGTON |
| Other Organization Name | PROVIDENCE SPOKANE HEART INSTITUTE |
| Practice Address |
212 E Central Ave Suite 240 Spokane WA 99208-6289 |
| Mailing Address |
1801 Lind Ave Sw #9016 Renton WA 98057-3368 |
| Practice Telephone | 5094829011 |
| Mailing Telephone | 4255253030 |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2010-07-30 |
| Authorized Official Name | RANDEE REID (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 4255256694 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Providence Spokane Heart Institute | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407162571 | Providence Health & Services - Washington | Internal Medicine | 510 E Amende Drive, Odessa, WA 99159-0000 | 2010-08-26 |
| 1841503034 | Providence Health & Services - Washington | Family Medicine | 18313 Paulsonst Sw, Suite A, Rochester, WA 98579-9262 | 2010-07-16 |
| 1083947709 | Providence Health & Services - Washington | Hospice Care, Community Based | 2731 Wetmore Ave Ste 500, Everett, WA 98201-3585 | 2009-09-14 |
| 1760636690 | Providence Health & Services - Washington | Neurological Surgery | 301 W Poplar Street, Ste 220, Walla Walla, WA 99362-2800 | 2008-11-05 |
| 1558512368 | Providence Health & Services - Washington | Home Health | 209 W Poplar St, Walla Walla, WA 99362 | 2008-10-10 |
| 1922259738 | Providence Health & Services - Washington | Internal Medicine | 380 Chase Avenue, Pmg Se Wa, Walla Walla, WA 99362-2924 | 2008-10-10 |
| 1306097126 | Providence Health & Services - Washington | Radiology | 401 W Poplar Street, Pmg Se Wa Imaging, Walla Walla, WA 99362-2846 | 2008-10-10 |
| 1043374119 | Providence Health & Services - Washington | Rehabilitation, Substance Use Disorder Unit | 508 Quarter Eighth Street, Hoquiam, WA 98550 | 2006-12-21 |
| 1073677605 | Providence Health & Services - Washington | Rehabilitation, Substance Use Disorder Unit | 506 W Franklin St, Shelton, WA 98584-3517 | 2006-12-20 |
| 1003906918 | Providence Health & Services - Washington | Home Health | 3432 Bay Rd Ne, Olympia, WA 98506-2958 | 2006-10-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Providence Health & Services - Washington | 1801 Lind Ave. Sw, #9016, Renton, WA 98057 |
| Street Address |
212 E CENTRAL AVE SUITE 240 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99208-6289 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477550572 | Philip Coff | Internal Medicine | 212 E Central Ave, Suite 440, Spokane, WA 99208-6291 | 2005-07-05 |
| 1881059954 | Providence Health & Services Washington | Prosthetic/Orthotic Supplier | 212 E Central Ave, Suite 245, Spokane, WA 99208-6291 | 2015-12-16 |
| 1881096774 | Timothy Brim | Physician Assistant | 212 E Central Ave, Suite 365, Spokane, WA 99208-6291 | 2014-09-23 |
| 1295135598 | Providence Physician Services Co. | Orthopaedic Surgery | 212 E Central Ave, Suite 245, Spokane, WA 99208-6291 | 2014-08-25 |
| 1841605433 | Nicole Breen | Family Medicine | 212 E Central Ave, Spokane, WA 99208-6291 | 2014-06-23 |
| 1154614469 | Jessica Renae Craddock | Internal Medicine | 212 E Central Ave, Suite 440, Spokane, WA 99208-6291 | 2011-05-19 |
| 1639471667 | Daniel J Simon | Physician Assistant | 212 E Central Ave, Suite 440, Spokane, WA 99208-6291 | 2010-11-24 |
| 1609182070 | David Bryan Ramey | Psychiatry & Neurology | 212 E Central Ave, Suite 315, Spokane, WA 99208-6291 | 2010-08-24 |
| 1154648814 | Providence Physician Services Co | Family Medicine | 212 E Central Ave, Ste 440, Spokane, WA 99208-6291 | 2010-04-21 |
| 1528385283 | Providence Physician Services Co | Family Medicine | 212 E Central Ave, Ste 440, Spokane, WA 99208-6290 | 2010-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043787161 | Bonnie Rose Spencer | Social Worker | E 44 Cozza, Spokane, WA 99208 | 2018-10-26 |
| 1235617515 | Melissa Dawn Scholl | Massage Therapist | 906 E Country Hill Ct, Spokane, WA 99208 | 2018-07-30 |
| 1043706583 | Healthy Schools Washington, Pllc | Pediatrics | 1028 West Rosewood Ave, Spokane, WA 99208 | 2018-07-09 |
| 1467943720 | Simone Ferguson | Student in an Organized Health Care Education/Training Program | 7808 North Morton Avenue, Apt. # 675, Spokane, WA 99208 | 2018-05-22 |
| 1912496035 | Ascend Network Corp | Counselor | 3711 W Woodside, Spokane, WA 99208 | 2018-05-03 |
| 1023522216 | Cherrywood Place-spokane, LLC | Assisted Living Facility | 100 East Dalke Ave, Spokane, WA 99208 | 2017-11-27 |
| 1881118792 | Annie Kamau | Registered Nurse | 5920 W Lonewolf, Spokane, WA 99208 | 2017-08-01 |
| 1609303908 | Jeffery Anthony Glinski | Counselor | 3754 W. Indian Trail Rd., Spokane, WA 99208 | 2017-05-17 |
| 1487186938 | Mukhlis Azar | Physical Therapy Assistant | 305 E Sierra Ct, Spokane, WA 99208 | 2017-04-03 |
| 1154796241 | Daisy O'dell | Marriage & Family Therapist | 515 W. Francis Ave., Suite #8, Spokane, WA 99208 | 2015-12-01 |
| Find all providers in zip 99208 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780002485 | Kavisha Singh | Internal Medicine | 62 W 7th Ave Ste 450, Spokane, WA 99204-2321 | 2014-04-01 |
| 1881907715 | Providence Health & Services Washington | Internal Medicine | 62 W 7th Ave, Spokane, WA 99204-2321 | 2010-07-20 |
| 1114230042 | Providence Health & Services | Internal Medicine | 318 E Rowan Ave, 240, Spokane, WA 99207-1200 | 2010-07-20 |
| 1740519776 | Marc Albert Dewood | Internal Medicine | 901 N Monroe St, Suite 250, Spokane, WA 99201-2104 | 2009-12-22 |
| 1821231986 | Nathan Emil Spence | Internal Medicine | 122 W 7th Ave Ste 310, Spokane, WA 99204-2352 | 2009-04-19 |
| 1255381109 | Andrew Thomas Coletti | Internal Medicine | 122 W 7th Ave Ste 232, Spokane, WA 99204 | 2006-05-11 |
| 1508815036 | Romeo Anton Pavlic | Internal Medicine | 25 W Nora Ave Ste 220, Spokane, WA 99205-4800 | 2006-05-10 |
| 1649521857 | Cardiovascular Institute II, P.C. | Internal Medicine | 25 W Nora Ave Ste 220, Spokane, WA 99205-4800 | 2012-09-27 |
| 1831483155 | Adam Macarthur Noyes | Internal Medicine | 122 W 7th Ave Ste 310, Spokane, WA 99204 | 2011-06-03 |
| 1699088526 | Providence Health & Services Washington | Internal Medicine | 910 W 5th Ave, Ste 300, Spokane, WA 98204-2972 | 2010-07-20 |
| Find all providers in SPOKANE | ||||
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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.