Organization Active NPI

Total Health Physician Group LLC

Doing business as HealthMotivate Care

  • Multi-Specialty Clinic/Center
  • Moscow, ID
National Provider Identifier
1043492655
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
TOTAL HEALTH PHYSICIAN GROUP LLC
Doing business as
HealthMotivate Care
Practice address
619 S Washington St
Suite 203
Moscow, ID 83843-3090
Phone
(208) 892-1346
Fax
(208) 892-8306
NPI assigned
Dec 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Authorized official

Name
Dr. Robert N Spady, M.D.NPI 1053329490
Title
President
Phone
(208) 892-1346

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

619 S Washington St
Suite 203
Moscow, ID 83843-3090

Mailing address

619 S Washington St Ste 203
Moscow, ID 83843-3063
Phone (208) 892-1346

Other names 1

  • HealthMotivate Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080318000369 ID Part B Supplier - Clinic/Group Practice 0648356543 Receives reassigned benefits from 3 practitioners
Practice locations: Moscow, ID
O20080408000578 WA Part B Supplier - Clinic/Group Practice 0648356543 Receives reassigned benefits from 3 practitioners
Practice locations: Pullman, WA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
13D0971757Total Health Physician Group619 S Washington St #203, Moscow, ID 83843Provider-performed microscopyMar 20, 2028

National Provider Directory

National Provider Directory

Locations

420 Rowe St
Moscow, ID 83843
Phone (208) 882-4576

805 SE Clearwater Dr
Pullman, WA 99163
Phone (208) 892-1346

825 SE Bishop Blvd
Ste 901
Pullman, WA 99163
Phone (509) 332-6688

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615420800000",
    "number": "1043492655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 S WASHINGTON ST STE 203",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838433063",
            "telephone_number": "208-892-1346",
            "fax_number": "208-892-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 S WASHINGTON ST",
            "address_2": "SUITE 203",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838433090",
            "telephone_number": "208-892-1346",
            "fax_number": "208-892-8306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL HEALTH PHYSICIAN GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A",
        "authorized_official_last_name": "SPADY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-892-1346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthMotivate Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moscow, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.

Verify at the official NPI Registry.