Individual provider Active NPI

Cody Robert Solders, PA-C

  • Medical Physician Assistant
  • Spokane, WA
National Provider Identifier
1255859849
Registry record updated Feb 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA60910508 Issued in WA
Practice address
220 E Rowan Ave Ste 300
Spokane, WA 99207-1203
Phone
(509) 489-3554
Fax
(509) 489-3558
NPI assigned
Sep 2, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA60910508 WA Primary

Addresses

Primary practice location

220 E Rowan Ave Ste 300
Spokane, WA 99207-1203

Mailing address

220 E Rowan Ave Ste 300
Spokane, WA 99207-1203
Phone (509) 489-3554

Other identifiers 1

IdentifierTypeStateIssuer
2113649MedicaidWA

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190220000385 WA Practitioner - Physician Assistant 4284972183 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA60910508WAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Adams County Public Hospital District 3 CurrentSince Dec 9, 2025 Accepting new patients
Multicare Health System CurrentSince Feb 1, 2021 Accepting new patients
Multicare Health System CurrentSince Feb 1, 2021 Accepting new patients
Lincoln County Public Hospital District 1 Past Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

315 N 14th Ave
Othello, WA 99344
Phone (509) 331-2667

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

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.

NPI Registry JSON

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

{
    "created_epoch": "1504310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1255859849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 E ROWAN AVE STE 300",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992071203",
            "telephone_number": "509-489-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E ROWAN AVE STE 300",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992071203",
            "telephone_number": "509-489-3554",
            "fax_number": "509-489-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLDERS",
        "first_name": "CODY",
        "middle_name": "ROBERT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-02",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA60910508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2113649",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.