DR. DEBORAH ANN ICENOGLE MD
NPI 1831296177
Pediatrics in Spokane, WA

Active since September 20, 2006
5011 W LOWELL AVE STE 100, SPOKANE, WA 99208(509) 299-1958(509) 299-1070 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, May 16, 2017 (2 updates tracked since 2017).

About Dr. Deborah Ann Icenogle Md NPPES

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

DR. DEBORAH ANN ICENOGLE MD (NPI 1831296177) is an individual pediatrics provider in Spokane, Washington, licensed in Washington (MD00028918) and active in the NPI registry since September 2006.Information from the official NPPES registry record, last updated July 21, 2022.

NPPES Registry Identity

NPI1831296177
Entity TypeIndividualFemale
Provider Legal NameDR. DEBORAH ANN ICENOGLECredential: MD
Location Address5011 W LOWELL AVE STE 100Spokane, WA 99208-8587
Mailing AddressPo Box 421Liberty Lake, WA 99019-0421 · (509) 385-0610 · Fax (509) 227-7070
Fax(509) 299-1070
Sole ProprietorNo
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1831296177 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Pediatrics

Taxonomy 208000000X · Allopathic & Osteopathic Physicians

Licensed in WA · MD00028918

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services… Show more

Also Listed

General Practice

Taxonomy 208D00000X · Allopathic & Osteopathic Physicians

Licensed in WA · MD00028918
5011 W LOWELL AVE STE 100, Spokane, WA 99208

Also on File with NPPES

Other Identifiers1
1120765 (Medicaid, WA)

Reviews for DR. DEBORAH ANN ICENOGLE MD

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Pediatrics
5011 W LOWELL AVE STE 100
SPOKANE, WA 99208

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831296177, enumerated as an "individual" on September 20, 2006.

The provider is located at 5011 W LOWELL AVE STE 100 SPOKANE, WA 99208 and the phone number is (509) 299-1958.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Providence Health Plan, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.