DR. DEBORAH ANN ICENOGLE MD
NPI 1831296177
Pediatrics in Spokane, WA
- Individual
- Female
- Pediatrics
- Accepts Insurance
About DEBORAH ICENOGLE
This page provides the complete NPI Profile along with additional information for Deborah Icenogle, a pediatrician established in Spokane, Washington with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1831296177 assigned on September 2006. The practitioner's primary taxonomy code is 208000000X with license number MD00028918 (WA). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1831296177 Verify this NPI
- Provider Name
- DR. DEBORAH ANN ICENOGLE MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 5011 W LOWELL AVE STE 100 SPOKANE, WA 99208
- Location Phone
- (509) 299-1958
- Location Fax
- (509) 299-1070
- Mailing Address
- PO BOX 421 LIBERTY LAKE, WA 99019
- Mailing Phone
- (509) 385-0610
- Mailing Fax
- (509) 227-7070
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-20-2006
- Last Update Date
- 07-21-2022
- Code Navigator
A pediatrician like Deborah Icenogle is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD00028918
- License State
- WA
- Taxonomy Description
- 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 ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208D00000X | Allopathic & Osteopathic Physicians | General Practice | MD00028918 (WA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- HSA-E Qualified 7500 Bronze - Signature Network - EPO
- Providence Oregon Standard Bronze Plan - Signature Network - EPO
- Providence Oregon Standard Gold Plan - Signature Network - EPO
- Providence Oregon Standard Silver Plan - Signature Network - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1120765 | MEDICAID (05) | WA |
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
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.
