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NORTHSIDE INTERNAL MEDICINE ASSOCIATES PS
NPI 1114966769
Internal Medicine in Spokane, WA

Active since June 06, 2006
6120 N MAYFAIR, SPOKANE, WA 99208(509) 489-7483(509) 489-4572 Get Directions Write a Review

NPPES record last updated: December 18, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Northside Internal Medicine Associates Ps NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHSIDE INTERNAL MEDICINE ASSOCIATES PS (NPI 1114966769) is a healthcare organization registered as an internal medicine in Spokane, Washington and active in the NPI registry since June 2006. The organization lists Timothy J Gardner, President, as its authorized official.

NPPES Registry Identity

NPI1114966769
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameNORTHSIDE INTERNAL MEDICINE ASSOCIATES PS
Location Address6120 N MAYFAIRSpokane, WA 99208
Mailing Address6120 N MayfairSpokane, WA 99208 · (509) 489-7483 · Fax (509) 489-4572
Phone(509) 489-7483
Fax(509) 489-4572
Organization SubpartNo
Authorized OfficialTimothy J GardnerPresident · (509) 489-7483
Enumeration DateJune 6, 2006
Last NPPES UpdateDecember 18, 2009
✔ NPI 1114966769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X
6120 N MAYFAIR, Spokane, WA 99208
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Other Identifiers 2

Medicaid7300015WA
Medicare PING000354100WA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northside Internal Medicine Associates Ps's NPI number?

The NPI number for Northside Internal Medicine Associates Ps is 1114966769. It was assigned to this organization in the NPPES registry on June 6, 2006.

Where is Northside Internal Medicine Associates Ps located?

Northside Internal Medicine Associates Ps is located at 6120 N Mayfair, Spokane, WA 99208. The listed phone number is (509) 489-7483.

What is Northside Internal Medicine Associates Ps's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Northside Internal Medicine Associates Ps was last updated on December 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.