NPIMap

Organization Active NPI

Spokane Digestive Disease Center

  • Ambulatory Surgical Clinic/Center
  • Spokane, WA
National Provider Identifier
1033242193
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
FX00056575 Issued in WA
Legal business name
SPOKANE DIGESTIVE DISEASE CENTER
Practice address
46 E Rowan Ave
Spokane, WA 99207-1232
Phone
(509) 487-1669
Fax
(509) 487-7773
NPI assigned
Mar 14, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Doreene A Mott
Title
Office Manager
Phone
(509) 838-5950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X FX00056575 WA Primary

Addresses

Primary practice location

46 E Rowan Ave
Spokane, WA 99207-1232

Mailing address

46 E Rowan Ave
Spokane, WA 99207-1232
Phone (509) 487-1669

Other names 1

  • SDDC North ASC Other name

National Provider Directory

National Provider Directory
Tax ID family
Spokane Digestive Disea4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033242193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 E ROWAN AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992071232",
            "telephone_number": "509-487-1669",
            "fax_number": "509-487-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 E ROWAN AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992071232",
            "telephone_number": "509-487-1669",
            "fax_number": "509-487-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPOKANE DIGESTIVE DISEASE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOTT",
        "authorized_official_first_name": "DOREENE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "509-838-5950",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WA",
            "license": "FX00056575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SDDC North ASC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 22, 2020; 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.