NPIMap

Organization Active NPI

Northwest Medical Specialists PS Inc

Doing business as Marycliff Allergy Specialists

  • Specialist
  • Spokane, WA
National Provider Identifier
1265518658
Registry record updated Nov 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD00015760 Issued in WA
Legal business name
NORTHWEST MEDICAL SPECIALISTS PS INC
Doing business as
Marycliff Allergy Specialists
Practice address
823 W 7TH Ave
Spokane, WA 99204-2850
Phone
(509) 838-3655
Fax
(509) 838-1952
NPI assigned
Oct 27, 2006
Last updated
Nov 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2012

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

Authorized official

Name
Dr. Richard G. Gower, M.D.NPI 1619969557
Title
President
Phone
(509) 838-3655

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD00015760 WA Primary

Addresses

Primary practice location

823 W 7TH Ave
Spokane, WA 99204-2850

Mailing address

823 W 7TH Ave
Spokane, WA 99204-2850
Phone (509) 838-3655

Other names 1

  • Marycliff Allergy Specialists Doing business as

National Provider Directory

National Provider Directory

Locations

823 W 7th Ave
Spokane, WA 99204
Phone (509) 744-0916

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351814400000",
    "number": "1265518658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 W 7TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042850",
            "telephone_number": "509-838-3655",
            "fax_number": "509-838-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 W 7TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042850",
            "telephone_number": "509-838-3655",
            "fax_number": "509-838-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST MEDICAL SPECIALISTS PS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2012-11-02",
        "status": "A",
        "authorized_official_last_name": "GOWER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-838-3655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00015760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marycliff Allergy Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; 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.