Alexander Lee Telis (NPI# 1114260510, PAC ID# 9537394812) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1114260510 |
| PAC ID by PECOS | 9537394812 |
| Professional Enrollment ID | I20191008003725 |
| Full Name | Alexander Lee Telis |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES WASHINGTON |
| Address |
820 S Mcclellan St Suite 300 Spokane WA 99204-2450 |
| Phone Number | 5098387100 |
| Gender | M |
| Medical School | GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 0345139929 |
| Number of Group Practice Members | 561 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500054 | PROVIDENCE SACRED HEART MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 820 S Mcclellan St, Suite 300, Spokane, WA 99204-2450 | 5098387100 | PROVIDENCE HEALTH AND SERVICES WASHINGTON |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES WASHINGTON |
| Physicians | 1132 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Kinnard | Nurse Practitioner | Providence Health and Services Washington | 2555 Marvin Rd Ne, Lacey, WA 98516-3138 |
| Jodi Ann Fischer | Nurse Practitioner | Providence Health and Services Washington | 1450 Northwest Ln Se, Suite A, Lacey, WA 98503-6908 |
| Katherine Elizabeth Reynolds | Nurse Practitioner | Providence Health and Services Washington | 1212 N Pines Rd, Spokane Valley, WA 99206-4939 |
| Eugene Daniel Villacian | Nurse Practitioner | Providence Health and Services Washington | 3333 Ensign Rd Ne, Olympia, WA 98506-5012 |
| Shira Y Albert | Nurse Practitioner | Providence Health and Services Washington | 12312 E Sprague Ave, Spokane Valley, WA 99216-0720 |
| Lisa Tisch | Nurse Practitioner | Providence Health and Services Washington | 551 E Hawthorne Rd, Spokane, WA 99218-1417 |
| Natalie S Angus | Family Medicine | Providence Health and Services Washington | 931 S Market Blvd, Chehalis, WA 98532-3423 |
| Tabatha Schellenger | Nurse Practitioner | Providence Health and Services Washington | 3760 Piper St, Suite 1108, Anchorage, AK 99508-4683 |
| Callie Rose Adams | Nurse Practitioner | Providence Health and Services Washington | 212 E Central Ave, Suite 240, Spokane, WA 99208-6597 |
| Stacey Clark | Emergency Medicine | Providence Health and Services Washington | 421 S Division St, Spokane, WA 99202-1331 |
| Street Address |
820 S MCCLELLAN ST SUITE 300 |
| City | SPOKANE |
| State | WA |
| Zip | 99204-2450 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Caitlin Allen | Internal Medicine | Providence Health and Services Washington | 820 S Mcclellan St, Suite 300, Spokane, WA 99204-2450 |
| Stacey A Rietze | Anesthesiology | Providence Health and Services Washington | 820 S Mcclellan St, Suite 200, Spokane, WA 99204-2456 |
| Gargi Ganguly | Internal Medicine | Providence Health and Services Washington | 820 S Mcclellan St, Suite 300, Spokane, WA 99204-2450 |
| Kerry P Gould | Nurse Practitioner | Providence Health and Services Washington | 820 S Mcclellan St, Suite 200, Spokane, WA 99204-2456 |
| Michael A Parisot | Internal Medicine | Providence Health and Services Washington | 820 S Mcclellan St, Suite 300, Spokane, WA 99204-2450 |
| Saima M Ahmad | Internal Medicine | Providence Health and Services Washington | 820 S Mcclellan St, Suite 200, Spokane, WA 99204-2456 |
| Wendy Kay Smith | Nurse Practitioner | Providence Health and Services Washington | 820 S Mcclellan St, Suite 300, Spokane, WA 99204-2450 |
| Laura A Bonneau | Plastic and Reconstructive Surgery | Providence Health and Services Washington | 820 S Mcclellan St, Suite 300, Spokane, WA 99204-2450 |
| Ruth A Oman | Nurse Practitioner | Providence Health and Services Washington | 820 S Mcclellan St, Suite 200, Spokane, WA 99204-2456 |
| Kristen Lee Winther | Nurse Practitioner | Providence Health and Services Washington | 820 S Mcclellan St, Suite 200, Spokane, WA 99204-2456 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth K Ohalloran | Family Practice | Providence Health and Services Washington | 105 E 8th Ave, Spokane, WA 99204 |
| Monica M Zherebtsov | Pediatric Medicine | Providence Health and Services Washington | 105 E 8th Ave, Suite 418, Spokane, WA 99204 |
| Mark P Guthrie | Chiropractic | Healing Center Inc. | 1625 W 4th Ave, Suite 200, Spokane, WA 99204-1720 |
| Kathleen D Lavis | Chiropractic | Healing Center Inc. | 1625 W 4th Ave, Suite 200, Spokane, WA 99204-1720 |
| Darcy A Kelly | Chiropractic | Healing Center Inc. | 1625 W 4th Ave, Suite 200, Spokane, WA 99204-1720 |
| Lucy E Peterson | Plastic and Reconstructive Surgery | 105 W 8th Ave, Spokane, WA 99204-2300 | |
| Kellen Ross Gumm | Physician Assistant | Providence Health and Services - Wa | 122 W 7th Ave, 110 Northwest Heart and Lung Surgical Association, Spokane, WA 99204-2301 |
| Maria C Cassel | Physician Assistant | Providence Health and Services - Wa | 122 W 7th Ave, Spokane, WA 99204-2301 |
| Michelle Minyoung Rhee | Physician Assistant | Providence Health and Services - Wa | 122 W 7th Ave, Spokane, WA 99204-2301 |
| Anisha Boetel | Psychiatry | Providence Health and Services Washington | 105 W 8th Ave, Suite 450e, Spokane, WA 99204-2302 |
| Find all physicians in zip 99204 | |||
| City | SPOKANE |
| Zip Code | 99204 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | SPOKANE + ORTHOPEDIC SURGERY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.