Active NPI
Lance J Ferrin, MD
- Gastroenterology Physician
- Spokane, WA
National Provider Identifier
1295759181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MD00042068
- Practice address
- 910 W 5TH Ave
Suite 501
Spokane, WA 99204-2966 - Phone
- (509) 838-2531
- Fax
- (509) 755-6580
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | MD00042068 | WA | Primary |
| Gastroenterology Physician | 207RG0100X | MD157354 | OR | |
| Gastroenterology Physician | 207RG0100X | M-14248 | ID |
Addresses
Primary practice location
910 W 5TH Ave
Suite 501
Spokane, WA 99204-2966
Mailing address
2517 17TH St
Ste B
Lewiston, ID 83501-6311
Phone (509) 838-2531
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500646864 | Medicaid | OR | |
| P01097093 | Other | OR | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-14248 | ID | MD | Gastroenterology Physician |
| MD157354 | OR | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gem State Endoscopy | Past | Accepting new patients | |
| Rockwood Clinic PS | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Ambulatory Surgical Clinic/Center
- Spokane, WA
- NPI 1912252693
-
- Ambulatory Surgical Clinic/Center
- Lewiston, ID
- NPI 1821459496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533081600000",
"number": "1295759181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2517 17TH ST",
"address_2": "STE B",
"city": "LEWISTON",
"state": "ID",
"postal_code": "835016311",
"telephone_number": "509-838-2531",
"fax_number": "509-755-6580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 W 5TH AVE",
"address_2": "SUITE 501",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992042966",
"telephone_number": "509-838-2531",
"fax_number": "509-755-6580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERRIN",
"first_name": "LANCE",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2018-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "WA",
"license": "MD00042068",
"primary": true
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "OR",
"license": "MD157354",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "ID",
"license": "M-14248",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500646864",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P01097093",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
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 Aug 1, 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.