Organization Active NPI

Endocrine Associates of Spokane PLLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Spokane, WA
National Provider Identifier
1073571386
Registry record updated May 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
ENDOCRINE ASSOCIATES OF SPOKANE PLLC
Practice address
910 W 5TH Ave
Suite 570
Spokane, WA 99204-2966
Phone
(509) 777-5000
Fax
(509) 777-0366
NPI assigned
May 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2009

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

Authorized official

Name
Lynn A Kohlmeier, M.D.
Title
Owner Member
Phone
(509) 777-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

910 W 5TH Ave
Suite 570
Spokane, WA 99204-2966

Mailing address

910 W 5TH Ave
Suite 570
Spokane, WA 99204-2966
Phone (509) 777-5000

Other identifiers 2

IdentifierTypeStateIssuer
805734600MedicaidID
7097199MedicaidWA

National Provider Directory

National Provider Directory

Locations

910 W 5th Ave
Ste 570
Spokane, WA 99204
Phone (509) 444-2000

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243468800000",
    "number": "1073571386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 W 5TH AVE",
            "address_2": "SUITE 570",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042966",
            "telephone_number": "509-777-5000",
            "fax_number": "509-777-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 W 5TH AVE",
            "address_2": "SUITE 570",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042966",
            "telephone_number": "509-777-5000",
            "fax_number": "509-777-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOCRINE ASSOCIATES OF SPOKANE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2009-05-28",
        "status": "A",
        "authorized_official_last_name": "KOHLMEIER",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER MEMBER",
        "authorized_official_telephone_number": "509-777-5000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805734600",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7097199",
            "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 May 28, 2009; 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.