Active NPI
Jared Wyrick, M.D.
- Cardiovascular Disease Physician
- Spokane, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD60196914
- Practice address
- 910 W 5TH Ave
Suite 900
Spokane, WA 99204-2966 - Phone
- (509) 838-2531
- Fax
- (509) 755-5544
- NPI assigned
- May 8, 2007
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | LL16151 | OR | |
| Cardiovascular Disease Physician | 207RC0000X | MD60196914 | WA | Primary |
Addresses
Primary practice location
910 W 5TH Ave
Suite 900
Spokane, WA 99204-2966
Mailing address
PO Box 3649
Spokane, WA 99220-3649
Phone (509) 838-2531
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Medical College of Wisconsin, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Multicare Health System
Practice addresses (Care Compare)
311 S L St
Tacoma, WA 98405-3720
4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706
605 E Holland Ave
Spokane, WA 99218-1246
910 W 5TH Ave
Suite 900
Spokane, WA 99204-2948
Phone (509) 755-5500
980 W Ironwood Dr
Suite 205
Coeur D Alene, ID 83814-2668
Phone (208) 765-2610
Hospital & facility affiliations
- Deaconess Medical Center
- Multicare Valley Hospital
- Providence Holy Family Hospital
- Mid Valley Hospital & Clinic
- Providence St Joseph Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL16151 | OR | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Past | Accepting new patients |
Locations
980 W Ironwood Dr
Ste 205
Coeur D Alene, ID 83814
Phone (208) 765-2610
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
910 W 5th Ave
Ste 900
Spokane, WA 99204
Phone (509) 530-5838
311 S L St
Tacoma, WA 98405
Phone (253) 403-1444
Interoperability endpoints
- jwyrick330832@direct.multicare.org
Organizations & group practices 6
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.
-
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Family Medicine Physician
- Tacoma, WA
- NPI 1326093873
-
- Family Medicine Physician
- Spokane, WA
- NPI 1386112977
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
- Family Medicine Physician
- Auburn, WA
- NPI 1013969195
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Spokane, WA
- NPI 1356528269
-
- General Acute Care Hospital
- Spokane Valley, WA
- NPI 1538345251
-
- Critical Access Hospital
- Omak, WA
- NPI 1255387403
-
- Critical Access Hospital
- Chewelah, WA
- NPI 1750532321
-
- General Acute Care Hospital
- Spokane, WA
- NPI 1225289895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312761600000",
"number": "1194938522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3649",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992203649",
"telephone_number": "509-838-2531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 W 5TH AVE",
"address_2": "SUITE 900",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992042966",
"telephone_number": "509-838-2531",
"fax_number": "509-755-5544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYRICK",
"first_name": "JARED",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-08",
"last_updated": "2011-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OR",
"license": "LL16151",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "WA",
"license": "MD60196914",
"primary": true
}
],
"identifiers": [],
"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 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.