NPIMap

Organization Active NPI

Surgical Specialists of Spokane

  • Surgery Physician
  • Spokane, WA
National Provider Identifier
1013989532
Registry record updated Nov 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SURGICAL SPECIALISTS OF SPOKANE
Practice address
105 W 8TH Ave
Ste 7060
Spokane, WA 99204-2327
Phone
(509) 747-6194
Fax
(509) 838-0824
NPI assigned
Feb 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Craig Hult
Title
Administrator
Phone
(509) 747-6194

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

105 W 8TH Ave
Ste 7060
Spokane, WA 99204-2327

Mailing address

910 W 5TH Ave
Ste 550
Spokane, WA 99204
Phone (509) 252-2830

Other identifiers 3

IdentifierTypeStateIssuer
0189191OtherDEPT LABOR & INDUSTRIES
DC4138OtherRAILROAD MEDICARE
7125149MedicaidWA

National Provider Directory

National Provider Directory

Locations

318 E Rowan Ave
Ste 227
Spokane, WA 99207
Phone (509) 489-1081

910 W 5th Ave
Ste 550
Spokane, WA 99204
Phone (509) 747-2112

235 E Rowan Ave
Ste 208
Spokane, WA 99207
Phone (509) 489-1081

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289347200000",
    "number": "1013989532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 W 5TH AVE",
            "address_2": "STE 550",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99204",
            "telephone_number": "509-252-2830",
            "fax_number": "509-252-2841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W 8TH AVE",
            "address_2": "STE 7060",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042327",
            "telephone_number": "509-747-6194",
            "fax_number": "509-838-0824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL SPECIALISTS OF SPOKANE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-07",
        "last_updated": "2010-11-10",
        "status": "A",
        "authorized_official_last_name": "HULT",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "509-747-6194"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT LABOR & INDUSTRIES",
            "identifier": "0189191",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC4138",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7125149",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.