James C Bonvallet MD PS

Primary specialty

SpecialistTaxonomy code 174400000X

License

00010836 Issued in WA

Legal business name

JAMES C BONVALLET MD PS

Practice address

220 E Rowan Ave
Suite 230
Spokane, WA 99207-1202

Phone

(509) 489-7866

Fax

(509) 489-7762

NPI assigned

Sep 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. James Cecil Bonvallet, MD

Title

Thoraacic Surgeon

Phone

(509) 489-7866

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190937600000",
    "number": "1275720724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 E ROWAN AVE",
            "address_2": "SUITE 230",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992071202",
            "telephone_number": "509-489-7866",
            "fax_number": "509-489-7762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E ROWAN AVE",
            "address_2": "SUITE 230",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992071202",
            "telephone_number": "509-489-7866",
            "fax_number": "509-489-7762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES C BONVALLET MD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-28",
        "last_updated": "2007-09-28",
        "status": "A",
        "authorized_official_last_name": "BONVALLET",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "CECIL",
        "authorized_official_title_or_position": "THORAACIC SURGEON",
        "authorized_official_telephone_number": "509-489-7866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "00010836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7836901",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mohit Jain, MD
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• Omar Jaiteh, REGISTERED NURSE
• John Jaksha
• James a Roubos PHD PS
• James C Hoppe DDS PLLC
• James C Wavra
• James F Pittman PHD Arnp PS
• James P. Dorosh DDS
• James S Shelby D.D.S

• Specialist in Spokane, WA
• Providers in Spokane, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; 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.