SPOKANE OBSTETRICS & GYNECOLOGY, PS NPI 1184756793

Obstetrics & Gynecology in Spokane, WA

Organization Obstetrics & Gynecology CLIA Record

About SPOKANE OBSTETRICS & GYNECOLOGY, PS

Spokane Obstetrics & Gynecology, Ps is a provider established in Spokane, Washington specializing in obstetrics & gynecology. The NPI number of Spokane Obstetrics & Gynecology, Ps is 1184756793 and was assigned on March 2007. The practitioner's primary taxonomy code is 207V00000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. Spokane Obstetrics & Gynecology, Ps operates as a single speciality business group with one or more individual providers who practice the same area of specialization.
The authorized official of this NPI record is Melodie L Olsen (Practice Administrator)

NPI

1184756793

Provider NameSPOKANE OBSTETRICS & GYNECOLOGY, PS
Provider Location Address105 W 8TH AVE SUITE 6060 SPOKANE, WA 99204
Provider Mailing Address105 W 8TH AVE SUITE 6060 SPOKANE, WA 99204
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date03-09-2007
Last Update Date02-28-2008

Primary Taxonomy

Taxonomy Code207V00000X
ClassificationObstetrics & Gynecology
TypeAllopathic & Osteopathic Physicians
Taxonomy DescriptionAn obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Business Address

SPOKANE OBSTETRICS & GYNECOLOGY, PS
105 W 8TH AVE
SUITE 6060
SPOKANE, WA
ZIP 99204
Phone: (509) 838-4211
Fax: (509) 838-6432

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Mailing Address

SPOKANE OBSTETRICS & GYNECOLOGY, PS
105 W 8TH AVE
SUITE 6060
SPOKANE, WA
ZIP 99204
Phone: (509) 838-4211
Fax: (509) 838-6432

Authorized Official

Authorized Official Name MELODIE L OLSEN
Authorized Official TitlePRACTICE ADMINISTRATOR
Authorized Official Phone(509) 838-4211

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates.

CLIA Number50D0952268
Facility TypePHYSICIAN OFFICE
Certificate TypeMicroscopy

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
000358300MEDICARE ID-TYPE UNSPECIFIED (04)WA
7764608MEDICAID (05)WA

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023005907 MICHAEL F. KESTELL M.D.
Individual
Internal Medicine (Gastroenterology)105 W 8TH AVE SUITE 6010
SPOKANE, WA 99204
(509) 838-5950
1154314557ADVANCED SURGICAL ORTHOPEDICS, PS
Organization
Orthopaedic Surgery105 W 8TH AVE SUITE 454E
SPOKANE, WA 99204
(509) 456-8550
1245223270DR. BRIAN ROSS CAMPBELL PH.D.
Individual
Clinical Neuropsychologist105 W 8TH AVE SUITE 332
SPOKANE, WA 99204
(509) 838-7400
1336147560MR. JAMES THOMAS DOYLE MD
Individual
Internal Medicine (Gastroenterology)105 W 8TH AVE SUITE 6050
SPOKANE, WA 99204
(509) 747-0143
1447252994 DANIEL F CAMMACK MD
Individual
Surgery105 W 8TH AVE SUITE 7070
SPOKANE, WA 99204
(509) 838-2531
1487640058ROCKWOOD CLINIC PS
Organization
Clinic/Center (Ambulatory Surgical)105 W 8TH AVE SUITE 7010
SPOKANE, WA 99204
(509) 838-2531
1548253511MR. JOSEPH DUNCAN FITTERER MD
Individual
Internal Medicine (Gastroenterology)105 W 8TH AVE SUITE 6050
SPOKANE, WA 99204
(509) 747-0143
1548253867 HOLLY BETH PENA ARNP
Individual
Nurse Practitioner105 W 8TH AVE SUITE 6050
SPOKANE, WA 99204
(509) 747-0143
1548257439 KARL PETER HOUGLUM M.D.
Individual
Internal Medicine (Gastroenterology)105 W 8TH AVE SUITE 6010
SPOKANE, WA 99204
(509) 838-5950
1619972320 JASON M. REUTER MD
Individual
Obstetrics & Gynecology105 W 8TH AVE SUITE 6060
SPOKANE, WA 99204
(509) 838-4211
1750380812INLAND EMPIRE GASTROENTEROLOGY PS
Organization
Internal Medicine (Gastroenterology)105 W 8TH AVE STE 6050
SPOKANE, WA 99204
(509) 747-0143
1811985930MRS. MARYNELL H MEYER MD
Individual
Obstetrics & Gynecology105 W 8TH AVE SUITE 6060
SPOKANE, WA 99204
(509) 838-4211
1831183318 ERIKA R BAARD MSW
Individual
Counselor105 W 8TH AVE SUITE 332C
SPOKANE, WA 99204
(509) 838-7400
1841284320MR. TODD G SWANSON MS
Individual
Counselor (Mental Health)105 W 8TH AVE SUITE 332C
SPOKANE, WA 99204
(509) 838-7400
1861486342DR. PAUL J DOMITOR PHD
Individual
Psychologist105 W 8TH AVE SUITE 332C
SPOKANE, WA 99204
(509) 838-7400
1881681831 LAEL ELLEN HINDS
Individual
Genetic Counselor, MS105 W 8TH AVE 650E
SPOKANE, WA 99204
(509) 474-3810
1891783924MRS. KELLEY M MATHIA MD
Individual
Obstetrics & Gynecology105 W 8TH AVE SUITE 6060
SPOKANE, WA 99204
(509) 838-4211
1922095827 ROBERT K DURNFORD III M.D.
Individual
Internal Medicine (Gastroenterology)105 W 8TH AVE SUITE 6010
SPOKANE, WA 99204
(509) 838-5950
1962496448PAUL J DOMITOR AND ASSOCIATES
Organization
Psychologist105 W 8TH AVE SUITE 332C
SPOKANE, WA 99204
(509) 838-7400
1962499848 STEVEN EARL GOODELL M.D.
Individual
Internal Medicine (Gastroenterology)105 W 8TH AVE SUITE 6010
SPOKANE, WA 99204
(509) 838-5950

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

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