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).

  • 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)
1208D00000XAllopathic & 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
1120765MEDICAID (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.

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.