Individual provider Active NPI

Patrick D. Demars, MD

  • Anesthesiology Physician
  • Spokane, WA
National Provider Identifier
1235123753
Registry record updated Dec 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD60198039 Issued in WA
Practice address
2008 S Manito PL
Spokane, WA 99203-2364
Phone
(509) 413-2117
NPI assigned
Sep 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD60198039 WA Primary

Addresses

Primary practice location

2008 S Manito PL
Spokane, WA 99203-2364

Mailing address

2008 S Manito PL
Spokane, WA 99203-2364
Phone (509) 413-2117

Other identifiers 1

IdentifierTypeStateIssuer
5701120MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140821000996 WA Practitioner - Anesthesiology 7618947920 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5234SDMDPharmacist
MD60198039WAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Anesthesia of Richland a Division of Premier Anesthesia, LLC Anesthesiology CurrentSince Jan 7, 2017 Accepting new patients
Shriners Hospitals for Children Current Accepting new patients
Shriners Hospitals for Children Anesthesiology CurrentSince Jun 30, 2014 Accepting new patients
Shriners Hospitals for Children CurrentSince Jun 30, 2014 Accepting new patients
Black Hills Surgical Hospital, LLP Past Accepting new patients
Anesthesia Solutions, PC Past Accepting new patients

Locations

520 N 4th Ave
Pasco, WA 99301
Phone (509) 544-6140

888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115

911 W 5th Ave
Spokane, WA 99204
Phone (509) 455-7844

1025 S 2nd Ave
Walla Walla, WA 99362
Phone (509) 525-0480

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481846400000",
    "number": "1235123753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 S MANITO PL",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032364",
            "telephone_number": "509-413-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 S MANITO PL",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032364",
            "telephone_number": "509-413-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMARS",
        "first_name": "PATRICK",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2016-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "MD60198039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5701120",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.