Active NPI
William Tippets, D.O., MBA
- Anesthesiology Physician
- Spokane, WA
National Provider Identifier
1295773737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- OP60744732
- Practice address
- 911 W. 5TH Ave.
Spokane, WA 99204 - Phone
- (509) 455-7844
- Fax
- (509) 623-0415
- NPI assigned
- Jun 4, 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Anesthesiology Physician | 207LP3000X | OP60744732 | WA | |
| Anesthesiology Physician | 207L00000X | H0062904 | MD | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | H0062904 | MD | |
| Pediatric Anesthesiology Physician | 207LP3000X | DH0062904 | MD | |
| Anesthesiology Physician | 207L00000X | OP60744732 | WA | Primary |
| Anesthesiology Physician | 207L00000X | 349996 | LA |
Addresses
Primary practice location
911 W. 5TH Ave.
Spokane, WA 99204
Mailing address
PO Box 8500 Lockbox 7642
Philadelphia, PA 19178-7642
Phone (813) 281-8115
Other practice location 1
4801 Ambassador Caffery Pkwy
Lafayette, LA 70508-6917
Phone (337) 470-2574
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4083466 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of New England, College of Osteo Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
217 W Cataldo Ave
Spokane, WA 99201-2217
Phone (509) 624-2356
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DH0062904 | MD | MD | Pediatric Anesthesiology Physician |
| OP60744732 | WA | MD | Pediatric Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spokane Outpatient Anesthesia PLLC | Anesthesiology | Current | Accepting new patients |
Locations
217 W Cataldo Ave
Spokane, WA 99201
Phone (509) 624-2326
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.
-
- Anesthesiology Physician
- Spokane, WA
- NPI 1114645546
-
- Certified Registered Nurse Anesthetist
- New Iberia, LA
- NPI 1922178599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784505600000",
"number": "1295773737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8500 LOCKBOX 7642",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191787642",
"telephone_number": "813-281-8115",
"fax_number": "813-281-8656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 W. 5TH AVE.",
"city": "SPOKANE",
"state": "WA",
"postal_code": "99204",
"telephone_number": "509-455-7844",
"fax_number": "509-623-0415"
}
],
"practiceLocations": [
{
"address_1": "4801 Ambassador Caffery Pkwy",
"address_purpose": "LOCATION",
"city": "Lafayette",
"state": "LA",
"postal_code": "705086917",
"country_code": "US",
"telephone_number": "337-470-2574",
"fax_number": "337-470-2605",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TIPPETS",
"first_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "D.O., MBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-04",
"last_updated": "2026-07-20",
"certification_date": "2026-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "207LP3000X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": "WA",
"license": "OP60744732",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MD",
"license": "H0062904",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "MD",
"license": "H0062904",
"primary": false
},
{
"code": "207LP3000X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": "MD",
"license": "DH0062904",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WA",
"license": "OP60744732",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "LA",
"license": "349996",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4083466",
"state": "MD"
}
],
"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 Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.