Integra Imaging, PS

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

INTEGRA IMAGING, PS

Practice address

801 S Stevens St
Spokane, WA 99204-2654

Phone

(509) 747-4455

Fax

(509) 363-7064

NPI assigned

Oct 24, 2012

Last updated

Oct 14, 2013By 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

Sarah Russell

Title

Coo

Phone

(509) 747-4455

Specialties & licenses 1

Addresses

Other names 1

• Inland Imaging Associates, PS Former legal business name

Medicare fee-for-service enrollment

Enrolled in WA, CO, MT, OR, TX, NM, MI, CA, IL9 enrollments

Enrollment records 9

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Integra Imaging, PS

  • Diagnostic Radiology Physician
  • Spokane, WA
  • NPI 1174876437

  O20121204000044, O20161130001365

  Same enrollment
• Integra Imaging, PS

  • Diagnostic Radiology Physician
  • Spokane, WA
  • NPI 1467705657

  O20121204000044, O20161130001365

  Same enrollment

Locations

Practitioners 189

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.

• C. Mark Alder, MD

  • Diagnostic Radiology Physician
  • Spokane, WA
  • NPI 1386631927

  MT

  Medicare reassignment Care Compare group NPD
• Gregory J Balmforth, MD

  • Diagnostic Radiology Physician
  • Spokane, WA
  • NPI 1780602367

  MT

  Medicare reassignment Care Compare group NPD
• Michael T Bayona, M.D.

  • Diagnostic Radiology Physician
  • Spokane, WA
  • NPI 1811330954

  MT

  Medicare reassignment Care Compare group NPD
• Logan Beebe, D.O.

  • Diagnostic Radiology Physician
  • Spokane, WA
  • NPI 1871970277

  MT, OR

  Medicare reassignment Care Compare group NPD
• John William Bell, M.D.

  • Diagnostic Radiology Physician
  • Spokane, WA
  • NPI 1376726661

  MT

  Medicare reassignment Care Compare group NPD
• Ishwar Praveen Bhat, MD

  • Diagnostic Radiology Physician
  • Spokane, WA
  • NPI 1386607661

  MT

  Medicare reassignment Care Compare group NPD
• Jayson S Brower, MD

  • Vascular & Interventional Radiology Physician
  • Spokane, WA
  • NPI 1346298361

  Diagnostic Radiology, MT

  Medicare reassignment Care Compare group NPD
• Marc Brian Bruce, M.D.

  • Diagnostic Radiology Physician
  • Walla Walla, WA
  • NPI 1386746998

  MT, OR

  Medicare reassignment Care Compare group NPD
• Richard S Brunkan, MD

  • Diagnostic Radiology Physician
  • Spokane, WA
  • NPI 1427011543

  CA, MT

  Medicare reassignment Care Compare group NPD
• Scott Bruschwein, M.D.

  • Diagnostic Radiology Physician
  • Spokane, WA
  • NPI 1659799732

  MT

  Medicare reassignment Care Compare group NPD
• James Buratto, M.D.

  • Diagnostic Radiology Physician
  • Walla Walla, WA
  • NPI 1467438044

  MT, OR

  Medicare reassignment Care Compare group NPD
• Casey Cable, M.D.

  • Vascular & Interventional Radiology Physician
  • Spokane, WA
  • NPI 1801243464

  MT

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381708800000",
    "number": "1205189461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2816",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99220",
            "telephone_number": "509-747-4455",
            "fax_number": "509-363-7064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S STEVENS ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042654",
            "telephone_number": "509-747-4455",
            "fax_number": "509-363-7064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRA IMAGING, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-24",
        "last_updated": "2013-10-14",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "509-747-4455"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inland Imaging Associates, PS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Diagnostic Radiology Physician in Spokane, WA
• Providers in Spokane, WA by specialty
• Diagnostic Radiology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; 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.