Northwest Neurology, PLLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

NORTHWEST NEUROLOGY, PLLC

Practice address

309 E Farwell Rd
Suite 204
Spokane, WA 99218-8210

Phone

(509) 489-3879

Fax

(509) 484-1823

NPI assigned

Mar 19, 2010

Organization subpart

No

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

Authorized official

Name

Dr. David M Henzler, MD

Title

Owner

Phone

(509) 489-3879

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1268956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412640000000",
    "number": "1154645190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 E FARWELL RD",
            "address_2": "SUITE 204",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992188210",
            "telephone_number": "509-489-3879",
            "fax_number": "509-484-1823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 E FARWELL RD",
            "address_2": "SUITE 204",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992188210",
            "telephone_number": "509-489-3879",
            "fax_number": "509-484-1823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST NEUROLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-19",
        "last_updated": "2014-10-07",
        "status": "A",
        "authorized_official_last_name": "HENZLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-489-3879",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwest Medical Specialists PS Inc
• Northwest Medical Specialty Evaluations PLLC
• Northwest Mobile Physical Therapy Specialists PLLC
• Northwest Neurobehavioral Institute
• Northwest Neurological PLLC
• Northwest Nutrition Solutions, PLLC
• Northwest Orthopaedic Specialists PS
• Northwest Orthopaedic Specialists PS
• Northwest Orthopaedic Specialists, P.S.
• Northwest Orthopaedic Specialists, P.S.

• Neurology Physician in Spokane, WA
• Providers in Spokane, WA by specialty
• Neurology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.