North Spokane Pulmonary Clinic, P.S.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

MD00027318 Issued in WA

Legal business name

NORTH SPOKANE PULMONARY CLINIC, P.S.

Practice address

212 E Central Ave
Suite 315
Spokane, WA 99208-6291

Phone

(509) 465-3919

Fax

(509) 468-0705

NPI assigned

Aug 26, 2006

Organization subpart

No

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

Authorized official

Name

Carmen D Green

Title

Office Manager

Phone

(509) 465-3919

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Todd Robert Green, MD

  • Sleep Medicine (Internal Medicine) Physician
  • Spokane, WA
  • NPI 1558300269

  Pulmonary Disease

  NPD (past)
• Michael Puruckherr, MD

  • Pulmonary Disease Physician
  • Rockford, IL
  • NPI 1487684353
  NPD (past)

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

{
    "created_epoch": "1156550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231718400000",
    "number": "1124136692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 E CENTRAL AVE",
            "address_2": "SUITE 315",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992086291",
            "telephone_number": "509-465-3919",
            "fax_number": "509-468-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 E CENTRAL AVE",
            "address_2": "SUITE 315",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992086291",
            "telephone_number": "509-465-3919",
            "fax_number": "509-468-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SPOKANE PULMONARY CLINIC, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-26",
        "last_updated": "2009-01-12",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "509-465-3919"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WA",
            "license": "MD00027318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7088974",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North East Washington Treatment Alternatives
• North River Psychotherapy
• North Spokane Counseling, Inc
• North Spokane Dental
• North Spokane Gynecology and Cosmetic Laser PC
• North Spokane Womens Health PS
• Northeast Washington Educational Service District 101
• Northeast Washington Educational Service District 101
• Northern Pines ABA
• Northern Pines Academy

• Pulmonary Disease Physician in Spokane, WA
• Providers in Spokane, WA by specialty
• Pulmonary Disease Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.