Active NPI
Douglas G Demmert, CRNA
- Certified Registered Nurse Anesthetist
- Spokane, WA
National Provider Identifier
1043289507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP30002486
- Practice address
- 842 S Cowley St
Ste 3
Spokane, WA 99202-1234 - Phone
- (509) 939-3483
- Fax
- (509) 228-9542
- NPI assigned
- Mar 16, 2006
- Last updated
- Oct 25, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | AP30002486 | WA | Primary |
Addresses
Primary practice location
842 S Cowley St
Ste 3
Spokane, WA 99202-1234
Mailing address
PO Box 8227
Spokane, WA 99203-0227
Phone (509) 939-3483
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9625567 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090113000774 | WA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 9436212750 | Practice locations: Spokane, WA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP30002486 | WA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Past | Accepting new patients | |
| Douglas G Demmert Crna | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Certified Registered Nurse Anesthetist
- Spokane, WA
- NPI 1689986747
Nurse Anesthetist, Certified Registered
-
dba MultiCare Deaconess Retail Pharmacy
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477353600000",
"number": "1043289507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8227",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992030227",
"telephone_number": "509-939-3483",
"fax_number": "509-228-9542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "842 S COWLEY ST",
"address_2": "STE 3",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992021234",
"telephone_number": "509-939-3483",
"fax_number": "509-228-9542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMMERT",
"first_name": "DOUGLAS",
"middle_name": "G",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-16",
"last_updated": "2016-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WA",
"license": "AP30002486",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9625567",
"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 Oct 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.