Physicians Clinic of Spokane

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

L0520049 Issued in WA

Legal business name

PHYSICIANS CLINIC OF SPOKANE

Doing business as

PCOS Independent X-Ray

Practice address

820 S McClellan St
#LL10
Spokane, WA 99204-2457

Phone

(509) 353-3979

Fax

(809) 838-8275

NPI assigned

Jul 20, 2006

Organization subpart

No

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

Authorized official

Name

Jeffrey B Collins, MD

Title

Ceo

Phone

(509) 353-3973

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PCOS Independent X-Ray Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Physicians Clinic of Spokane PS

  • Multi-Specialty Clinic/Center
  • Spokane, WA
  • NPI 1336186105

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235159534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 S MCCLELLAN ST",
            "address_2": "#LL10",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042457",
            "telephone_number": "509-353-3979",
            "fax_number": "809-838-8275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S MCCLELLAN ST",
            "address_2": "#LL10",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042457",
            "telephone_number": "509-353-3979",
            "fax_number": "809-838-8275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS CLINIC OF SPOKANE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "509-353-3973",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "L0520049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7127418",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PCOS Independent X-Ray",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Physical Therapy Associates
• Physical Therapy Associates PS
• Physician Anesthesia Group PS
• Physicians Anesthesia Group, PS
• Physicians Clinic of Spokane
• Physicians Clinic of Spokane PS
• Physiotherapy Associates Inc
• Giulia Maria Piano, PA-C
• Vincent Francis II Piccolo, B.S., P.T.
• Bridgette Picken, LMHC

• 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.