Organization Active NPI

Daniel L Husky, MD, PS

  • Family Medicine Physician
  • Spokane, WA
National Provider Identifier
1154532406
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00017002 Issued in WA
Legal business name
DANIEL L HUSKY, MD, PS
Practice address
104 W 5TH Ave Ste 390E
Spokane, WA 99204-4817
Phone
(509) 777-8778
Fax
(509) 777-8790
NPI assigned
May 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Daniel L Husky, M.D.
Title
Owner
Phone
(509) 777-8778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X MD00017002 WA Primary

Addresses

Primary practice location

104 W 5TH Ave Ste 390E
Spokane, WA 99204-4817

Mailing address

104 W 5TH Ave Ste 390E
Spokane, WA 99204-4817
Phone (509) 777-8778

Other identifiers 2

IdentifierTypeStateIssuer
114792MedicaidWA
0156551OtherWAL & I

National Provider Directory

National Provider Directory

Locations

104 W 5th Ave
Ste 390E
Spokane, WA 99204
Phone (509) 777-8778

104 W 5th Ave
#390E
Spokane, WA 99204
Phone (509) 777-8778

Practitioners & affiliated clinicians

Practitioners 1

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": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154532406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W 5TH AVE STE 390E",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992044817",
            "telephone_number": "509-777-8778",
            "fax_number": "509-777-8790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W 5TH AVE STE 390E",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992044817",
            "telephone_number": "509-777-8778",
            "fax_number": "509-777-8790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL L HUSKY, MD, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUSKY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-777-8778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00017002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114792",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "0156551",
            "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 Aug 22, 2020; 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.