Spokane Obstetrics & Gynecology, PS

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

SPOKANE OBSTETRICS & GYNECOLOGY, PS

Practice address

105 W 8TH Ave
Suite 6060
Spokane, WA 99204-2302

Phone

(509) 838-4211

Fax

(509) 838-6432

NPI assigned

Mar 9, 2007

Last updated

Feb 28, 2008By 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

Melodie L Olsen

Title

Practice Administrator

Phone

(509) 838-4211

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 12

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.

• Dominique K Grant, MD

  • Obstetrics & Gynecology Physician
  • Spokane, WA
  • NPI 1164587259
  Medicare reassignment Care Compare group NPD
• Erin Lynne Melvin, MD

  • Obstetrics & Gynecology Physician
  • Spokane, WA
  • NPI 1538742879
  Medicare reassignment Care Compare group NPD
• Elizabeth Newell, MD

  • Obstetrics & Gynecology Physician
  • Spokane, WA
  • NPI 1659638021
  Medicare reassignment Care Compare group NPD
• Jason M. Reuter, MD

  • Obstetrics & Gynecology Physician
  • Spokane, WA
  • NPI 1619972320
  Medicare reassignment Care Compare group NPD
• Mark T Schemmel, MD

  • Obstetrics & Gynecology Physician
  • Spokane, WA
  • NPI 1154319283
  Medicare reassignment Care Compare group NPD
• Alison C. Spaniol, D.O.

  • Obstetrics & Gynecology Physician
  • Spokane, WA
  • NPI 1396030771
  Medicare reassignment Care Compare group NPD
• Eric Michael Tyler, M.D.

  • Obstetrics & Gynecology Physician
  • Spokane, WA
  • NPI 1447518808
  Medicare reassignment Care Compare group NPD
• Kelley M Mathia, MD

  • Obstetrics & Gynecology Physician
  • Spokane, WA
  • NPI 1891783924
  Medicare reassignment NPD
• Amery D Baker, PAC

  • Physician Assistant
  • Spokane, WA
  • NPI 1346212339
  Medicare reassignment
• Brianne Rose Boren, PA-C, RD, CNSC

  • Physician Assistant
  • Spokane, WA
  • NPI 1225757156
  Medicare reassignment
• Rhiannon Prince Evans, PA-C

  • Physician Assistant
  • Salt Lake City, UT
  • NPI 1730660796

  WA

  Medicare reassignment
• Bruce G Hopkins, MD

  • Obstetrics & Gynecology Physician
  • Spokane, WA
  • NPI 1841288966
  NPD (past)

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1184756793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W 8TH AVE",
            "address_2": "SUITE 6060",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042302",
            "telephone_number": "509-838-4211",
            "fax_number": "509-838-6432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W 8TH AVE",
            "address_2": "SUITE 6060",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042302",
            "telephone_number": "509-838-4211",
            "fax_number": "509-838-6432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPOKANE OBSTETRICS & GYNECOLOGY, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "MELODIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "509-838-4211"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7764608",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Spokane Medical Massage PLLC
• Spokane Medical Partners (Franklin Park Express Care)
• Spokane Midwives, PLLC
• Spokane Neighborhood Action Partners
• Spokane Neurology PLLC (Spokane Neurology)
• Spokane Operations LLC (Avamere at South Hill)
• Spokane Optical Company LLC
• Spokane Optical Company LLC
• Spokane Orthopedics PLLC
• Spokane Outpatient Anesthesia PLLC

• Obstetrics & Gynecology Physician in Spokane, WA
• Providers in Spokane, WA by specialty
• Obstetrics & Gynecology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.