Active NPI
Physicians Anesthesia Group, PS
- Certified Registered Nurse Anesthetist
- Spokane, WA
National Provider Identifier
1275704181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- PHYSICIANS ANESTHESIA GROUP, PS
- Practice address
- 104 W 5TH Ave Ste 230E
Spokane, WA 99204-4808 - Phone
- (509) 838-8561
- Fax
- (509) 835-4058
- NPI assigned
- Mar 19, 2008
- Organization subpart
- Yes
- Parent organization
- PHYSIAINS ANESTHESIA GROUP, PS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rex Porter, M.D.
- Title
- Delegate
- Phone
- (509) 838-8561
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | Primary |
Addresses
Primary practice location
104 W 5TH Ave Ste 230E
Spokane, WA 99204-4808
Mailing address
104 W 5TH Ave Ste 230E
Spokane, WA 99204-4808
Phone (509) 838-8561
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7847700 | Medicaid | WA |
National Provider Directory
National Provider Directory- Part of
- Physicain Anesthesia GR
Locations
104 W 5th Ave
Ste 230E
Spokane, WA 99204
Phone (509) 838-8561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205884800000",
"number": "1275704181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 W 5TH AVE STE 230E",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992044808",
"telephone_number": "509-838-8561",
"fax_number": "509-835-4058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 W 5TH AVE STE 230E",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992044808",
"telephone_number": "509-838-8561",
"fax_number": "509-835-4058"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICIANS ANESTHESIA GROUP, PS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PHYSIAINS ANESTHESIA GROUP, PS",
"enumeration_date": "2008-03-19",
"last_updated": "2008-03-19",
"status": "A",
"authorized_official_last_name": "PORTER",
"authorized_official_first_name": "REX",
"authorized_official_title_or_position": "DELEGATE",
"authorized_official_telephone_number": "509-838-8561",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7847700",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
- Phoenix Health & Wellness PLLC
- Physical Medicine and Rehabilitation Northwest, PLLC
- Physical Therapy Associates
- Physical Therapy Associates PS
- Physician Anesthesia Group PS
- Physicians Clinic of Spokane
- Physicians Clinic of Spokane
- Physicians Clinic of Spokane PS
- Physiotherapy Associates Inc
- Giulia Maria Piano, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.