Active NPI
Palouse Urology PLLC
- Specialist
- Pullman, WA
National Provider Identifier
1124155437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 602 206 826
- Legal business name
- PALOUSE UROLOGY PLLC
- Practice address
- 825 SE Bishop Blvd Ste 101
Pullman, WA 99163-5517 - Phone
- (509) 332-3488
- Fax
- (509) 334-6477
- NPI assigned
- Feb 27, 2007
- 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
- Mrs. Alicia Napier
- Title
- Office Manager
- Phone
- (509) 332-3488
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 602 206 826 | WA | Primary |
Addresses
Primary practice location
825 SE Bishop Blvd Ste 101
Pullman, WA 99163-5517
Mailing address
825 SE Bishop Blvd Ste 101
Pullman, WA 99163-5517
Phone (509) 332-3488
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100423000690 | ID | Part B Supplier - Clinic/Group Practice | 6406885656 |
Receives reassigned benefits from 2 practitioners Practice locations: Lewiston, ID; Moscow, ID |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D0919800 | Palouse Urology Center | Provider-performed microscopy | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryMember of 3
Organizations this organization is a member of, according to the National Provider Directory.
-
- Medicare Defined Swing Bed Hospital Unit
- Pullman, WA
- NPI 1750401006
Member Of
-
- Critical Access Hospital
- Colfax, WA
- NPI 1922009448
Member Of
Interoperability endpoints
- https://app.meldrx.com/api/fhir/uc09646_palouseurology
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1124155437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 SE BISHOP BLVD STE 101",
"city": "PULLMAN",
"state": "WA",
"postal_code": "991635517",
"telephone_number": "509-332-3488",
"fax_number": "509-334-6477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 SE BISHOP BLVD STE 101",
"city": "PULLMAN",
"state": "WA",
"postal_code": "991635517",
"telephone_number": "509-332-3488",
"fax_number": "509-334-6477"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALOUSE UROLOGY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "NAPIER",
"authorized_official_first_name": "ALICIA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "509-332-3488",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "WA",
"license": "602 206 826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pullman, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.