Clearwater Neurosurgery & Spinal Surgery Associates PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

M-4871 Issued in ID

Legal business name

CLEARWATER NEUROSURGERY & SPINAL SURGERY ASSOCIATES PLLC

Practice address

324 5TH St
Suite 101
Lewiston, ID 83501

Phone

(208) 746-5025

Fax

(208) 746-4946

NPI assigned

Oct 3, 2007

Last updated

Jun 4, 2018By 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

Jeff J Bishop

Title

Billing Manager

Phone

(509) 684-3606

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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.

• Donald S Soloniuk, M.D.

  • Neurological Surgery Physician
  • Lewiston, ID
  • NPI 1780620765
  NPD (past)

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528070400000",
    "number": "1235326208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 5TH ST",
            "address_2": "SUITE 101",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835012408",
            "telephone_number": "208-746-5025",
            "fax_number": "208-746-4946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 5TH ST",
            "address_2": "SUITE 101",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "83501",
            "telephone_number": "208-746-5025",
            "fax_number": "208-746-4946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARWATER NEUROSURGERY & SPINAL SURGERY ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2018-06-04",
        "status": "A",
        "authorized_official_last_name": "BISHOP",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "509-684-3606"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "ID",
            "license": "M-4871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80783320",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7140247",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clearview Surgery Center, LLC
• Clearwater Counseling
• Clearwater Gastroenterology
• Clearwater Medical Center PLLC (Clearwater Medical Clinic)
• Clearwater Neurosciences PLLC
• Clearwater Operations, LLC (Life Care Center of Lewiston)
• Clearwater Orthotics & Prosthetics
• Clearwater Orthotics and Prosthetics, LLC
• Clearwater Valley Optical
• Clearwater Vein Care Center PC

• Specialist in Lewiston, ID
• Providers in Lewiston, ID by specialty
• Specialist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; 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.