Active NPI
Northwest Eyelid and Orbital Specialists, P.S.
- Ophthalmology Physician
- Spokane, WA
National Provider Identifier
1053637702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD60132733
- Legal business name
- NORTHWEST EYELID AND ORBITAL SPECIALISTS, P.S.
- Practice address
- 626 S Sheridan St
Spokane, WA 99202-1325 - Phone
- (509) 279-2176
- Fax
- (509) 279-2941
- NPI assigned
- Apr 20, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kevin Scott Michels, M.D.
- Title
- President
- Phone
- (509) 994-0428
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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD60132733 | WA | Primary |
Addresses
Primary practice location
626 S Sheridan St
Spokane, WA 99202-1325
Mailing address
626 S Sheridan St
Spokane, WA 99202-1325
Phone (509) 279-2176
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100730000424 | WA | Part B Supplier - Clinic/Group Practice | 9133252935 |
Receives reassigned benefits from 2 practitioners Practice locations: Kennewick, WA; Pasco, WA; Pullman, WA; Richland, WA; Spokane, WA; Walla Walla, WA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Ambulatory Surgical Clinic/Center
- Spokane, WA
- NPI 1871929646
9133252935
National Provider Directory
National Provider Directory- Tax ID family
- Neos Surgery Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- Spokane, WA
- NPI 1871929646
Locations
626 S Sheridan St
Spokane, WA 99202
Phone (509) 279-2176
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Spokane, WA
- NPI 1841405404
Ophthalmology
-
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Spokane, WA
- NPI 1043507205
Ophthalmology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1446768000000",
"number": "1053637702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "626 S SHERIDAN ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992021325",
"telephone_number": "509-279-2176",
"fax_number": "509-279-2941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "626 S SHERIDAN ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992021325",
"telephone_number": "509-279-2176",
"fax_number": "509-279-2941"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWEST EYELID AND ORBITAL SPECIALISTS, P.S.",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-20",
"last_updated": "2015-11-06",
"status": "A",
"authorized_official_last_name": "MICHELS",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "509-994-0428",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "WA",
"license": "MD60132733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
- Northwest Care Alliance, PLLC
- Northwest Center for Congenital Heart Disease
- Northwest Counseling Center PLLC
- Northwest Direct Primary Care (Northwest DPC & Headache)
- Northwest Eyelid and Orbital Specialists PS
- Northwest Family Advocates
- Northwest Health Systems Inc
- Northwest Implants and Sleep Dentistry
- Northwest Internal Medicine, PLLC
- Northwest Medical Equipment, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; 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.