Columbia Medical Associates, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

COLUMBIA MEDICAL ASSOCIATES, LLC

Practice address

1003 E Trent Ave
Suite 150
Spokane, WA 99202-2180

Phone

(509) 688-6701

Fax

(509) 688-6777

NPI assigned

May 16, 2007

Last updated

Sep 6, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alicia Shober-Klotz, PROVIDER RELATIONS

Title

Credentialing Manager

Phone

(509) 688-6733

Specialties & licenses 1

Addresses

Tax ID family

Columbia Medical Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Columbia Medical Associates

  • Family Medicine Physician
  • Spokane, WA
  • NPI 1982799110
  NPD tax ID

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.

• Susan Marie Reynolds, LMP

  • Massage Therapist
  • Spokane, WA
  • NPI 1184968752
  NPD (past)
• Leonard J. Vanderbosch, MD

  • Family Medicine Physician
  • Spokane, WA
  • NPI 1972673747
  NPD (past)

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1073720538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3867",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992203867",
            "telephone_number": "509-688-6701",
            "fax_number": "509-688-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 E TRENT AVE",
            "address_2": "SUITE 150",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992022180",
            "telephone_number": "509-688-6701",
            "fax_number": "509-688-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA MEDICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "SHOBER-KLOTZ",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "509-688-6733",
        "authorized_official_credential": "PROVIDER RELATIONS"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shana Colt
• Mariah Grace Coluccio, LMHCA
• Columbia Diagnostic Lab, Inc.
• Columbia Medical Associates
• Columbia Medical Associates LLC
• Columbia Pelvic Health, PLLC (Columbia Pelvic Health)
• Columbia Surgery Center LLC
• Columbia Surgical Specialists (Spokane Ear Nose & Throat Clinic)
• Columbia Surgical Specialists, PS
• Columbia Surgical Specialists, PS (Columbia Surgery Center)

• Multi-Specialty Clinic/Center in Spokane, WA
• Providers in Spokane, WA by specialty
• Multi-Specialty Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; 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.