Active NPI
South Perry Endoscopy PLLC
- Ambulatory Surgical Clinic/Center
- Spokane, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- SOUTH PERRY ENDOSCOPY PLLC
- Practice address
- 907 S Perry St Ste 260
Spokane, WA 99202-3462 - Phone
- (509) 456-5433
- NPI assigned
- May 4, 2018
- Organization subpart
- Yes
- Parent organization
- SOUTH PERRY ENDOSCOPY PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Harold G Preiksaitis
- Title
- MD Owner
- Phone
- (509) 456-5433
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
907 S Perry St Ste 260
Spokane, WA 99202-3462
Mailing address
907 S Perry St Ste 260
Spokane, WA 99202-3462
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- South Perry Endoscopy PLLC
- Medicare certification status
- Active
National Provider Directory
National Provider Directory- Part of
- South Perry Endoscopy PLLC
Locations
907 S Perry St
#202
Spokane, WA 99202
Phone (509) 868-8816
907 S Perry St
Ste 26
Spokane, WA 99202
105 W 8th Ave
Ste 400C
Spokane, WA 99204
Phone (509) 456-5433
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Gastroenterology Physician
- Spokane, WA
- NPI 1407238173
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Spokane, WA
- NPI 1962495283
-
- Endocrinology, Diabetes & Metabolism Physician
- Spokane, WA
- NPI 1912999327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525392000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1688774400000",
"number": "1023507183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "907 S PERRY ST STE 260",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992023462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "907 S PERRY ST STE 260",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992023462",
"telephone_number": "509-456-5433"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH PERRY ENDOSCOPY PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SOUTH PERRY ENDOSCOPY PLLC",
"enumeration_date": "2018-05-04",
"last_updated": "2023-07-08",
"certification_date": "2023-07-08",
"status": "A",
"authorized_official_last_name": "PREIKSAITIS",
"authorized_official_first_name": "HAROLD",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "MD OWNER",
"authorized_official_telephone_number": "509-456-5433"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.