Active NPI
Raland A. John, CP, LPO
- Prosthetist
- Spokane, WA
National Provider Identifier
1326088378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- PS00000074
- Practice address
- 212 Central Ave Suite 215
Hanger Clinic
Spokane, WA 99208 - Phone
- (509) 326-6401
- Fax
- (509) 325-5986
- NPI assigned
- Jun 7, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | 0100000073 | WA | |
| Prosthetist | 224P00000X | PS00000074 | WA | Primary |
Addresses
Primary practice location
212 Central Ave Suite 215
Hanger Clinic
Spokane, WA 99208
Mailing address
212 Central Ave Suite 215
Hanger Clinic
Spokane, WA 99208
Phone (509) 326-6401
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8418691 | Other | WA | PIN NUMBER MEDICAID |
| 9011495 | Medicaid | WA | |
| CP001296 | Other | ABC NBR 033831 |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0100000073 | WA | MD | Orthotist |
| PS00000074 | WA | MD | Prosthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hanger Prosthetics & Orthotics Inc | Orthotist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Hanger Clinic
- Prosthetic/Orthotic Supplier
- Spokane, WA
- NPI 1164478434
Orthotist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463097600000",
"number": "1326088378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 CENTRAL AVE SUITE 215",
"address_2": "HANGER CLINIC",
"city": "SPOKANE",
"state": "WA",
"postal_code": "99208",
"telephone_number": "509-326-6401",
"fax_number": "509-325-5986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 CENTRAL AVE SUITE 215",
"address_2": "HANGER CLINIC",
"city": "SPOKANE",
"state": "WA",
"postal_code": "99208",
"telephone_number": "509-326-6401",
"fax_number": "509-325-5986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHN",
"first_name": "RALAND",
"middle_name": "A.",
"name_prefix": "Mr.",
"credential": "CP, LPO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2016-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "WA",
"license": "0100000073",
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "WA",
"license": "PS00000074",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PIN NUMBER MEDICAID",
"identifier": "8418691",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9011495",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ABC NBR 033831",
"identifier": "CP001296",
"state": null
}
],
"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 May 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.