Inland Northwest Surgery Center PLLC
A Medicare group practice based in Spokane Valley, WA: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 0648169094), with 4 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 0648169094
- Provider type
- DME Supplier - Physician - Podiatry, Part B Supplier - Ambulatory Surgical Center, Part B Supplier - Clinic/Group Practice
- Enrolled in
- WA
- Enrollments
- 3
- Group size
- 3 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 3
Enrollment records 3
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040312001108 | WA | Part B Supplier - Ambulatory Surgical Center | 1467637116 |
| O20050420001286 | WA | Part B Supplier - Clinic/Group Practice | 1134127657 |
| O20100930019233 | WA | DME Supplier - Physician - Podiatry | 1518142652 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Inland Northwest Surgery Center PLLC
dba Family Foot Center
- Podiatrist
- Spokane Valley, WA
- NPI 1134127657
-
Inland Northwest Surgery Center PLLC
- Ambulatory Surgical Clinic/Center
- Spokane Valley, WA
- NPI 1467637116
-
Inland Northwest Surgery Center PLLC
dba Family Foot Center
- Durable Medical Equipment & Medical Supplies
- Spokane Valley, WA
- NPI 1518142652
Practice locations
- Spokane Valley, WA3
Clinicians 4
Clinicians who reassign their Medicare benefits to this group (4) or whom Care Compare lists as members (3).
-
John Kittrell Clyde, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Spokane Valley, WA
- NPI 1831402841
-
Ronald J Douglas, D.P.M.
- Foot Surgery Podiatrist
- Spokane, WA
- NPI 1558361725
-
Tiffany Leigh Gunderson, CRNA
- Certified Registered Nurse Anesthetist
- Spokane Valley, WA
- NPI 1184960767
-
Thomasin K Hammer, DPM
- Podiatrist
- Spokane, WA
- NPI 1528129798
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.