Active NPI
Richard Holt Gascoigne Jr., MD
- Family Medicine Physician
- Spokane, WA
National Provider Identifier
1063450765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00041912
- Practice address
- 400 E 5TH Ave
Spokane, WA 99202-1334 - Phone
- (509) 838-2531
- Fax
- (509) 459-1597
- NPI assigned
- Jun 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00041912 | WA | Primary |
| Family Medicine Physician | 207Q00000X | 4301078995 | MI |
Addresses
Primary practice location
400 E 5TH Ave
Spokane, WA 99202-1334
Mailing address
400 E 5TH Ave
Spokane, WA 99202-1334
Phone (509) 838-2531
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 166912 | Other | WA | DEPT. OF L & I |
| G8868666 | Other | WA | MEDICARE PTAN |
| AB32999 | Other | WA | MEDICARE GROUP |
| 8350050 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301078995 | MI | MD | Family Medicine Physician |
| MD00041912 | WA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1063450765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 E 5TH AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992021334",
"telephone_number": "509-838-2531",
"fax_number": "509-459-1597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 E 5TH AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992021334",
"telephone_number": "509-838-2531",
"fax_number": "509-459-1597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GASCOIGNE",
"first_name": "RICHARD",
"middle_name": "HOLT",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-03",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00041912",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301078995",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT. OF L & I",
"identifier": "166912",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "G8868666",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "AB32999",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8350050",
"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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.