Active NPI
Gilbert R. Escandon, MD
- General Practice Physician
- Spokane, WA
National Provider Identifier
1194760769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- MD00030462
- Practice address
- 800 W 5TH Ave
Spokane, WA 99204-2803 - Phone
- (509) 458-5800
- Fax
- (509) 473-4916
- NPI assigned
- Jun 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | MD00030462 | WA | Primary |
| Emergency Medicine Physician | 207P00000X | MD00030462 | WA |
Addresses
Primary practice location
800 W 5TH Ave
Spokane, WA 99204-2803
Mailing address
PO Box 34640
Seattle, WA 98124-1640
Phone (509) 458-5800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8155368 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00030462 | WA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desert Edge Medical | Past | Accepting new patients | |
| Spokane Washington Hospital Company LLC | Past | Accepting new patients | |
| Inland Empire Dermatology, PS | Past | Accepting new patients | |
| Spokane Emergency Medicine Associates, PS | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Procedural Dermatology Physician
- Spokane Valley, WA
- NPI 1811004757
-
- Emergency Medicine Physician
- Spokane, WA
- NPI 1568628584
-
- Registered Dietitian
- Spokane, WA
- NPI 1053551127
-
- Primary Care Clinic/Center
- St George, UT
- NPI 1588162911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193875200000",
"number": "1194760769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34640",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981241640",
"telephone_number": "509-458-5800",
"fax_number": "509-473-4916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 W 5TH AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992042803",
"telephone_number": "509-458-5800",
"fax_number": "509-473-4916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESCANDON",
"first_name": "GILBERT",
"middle_name": "R.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-18",
"last_updated": "2007-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "WA",
"license": "MD00030462",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WA",
"license": "MD00030462",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8155368",
"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 Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.