Organization Active NPI

Northwest Internal Medicine, PLLC

  • Internal Medicine Physician
  • Spokane, WA
National Provider Identifier
1346376357
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD00035833 Issued in WA
Legal business name
NORTHWEST INTERNAL MEDICINE, PLLC
Practice address
801 W 5TH Ave
Ste 407
Spokane, WA 99204-2841
Phone
(509) 755-0372
Fax
(509) 232-6509
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Authorized official

Name
Annette M Soss, CPC
Title
Billing
Phone
(509) 926-1299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X MD00035833 WA Primary

Addresses

Primary practice location

801 W 5TH Ave
Ste 407
Spokane, WA 99204-2841

Mailing address

801 W 5TH Ave
Ste 407
Spokane, WA 99204-2841
Phone (509) 755-0372

Other identifiers 3

IdentifierTypeStateIssuer
120988OtherWALABOR & INDUSTRIES
P00400206OtherWARAILROAD MEDICARE
1123785MedicaidWA

National Provider Directory

National Provider Directory

Locations

801 W 5th Ave
Ste 407
Spokane, WA 99204
Phone (509) 455-8233

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1346376357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W 5TH AVE",
            "address_2": "STE 407",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042841",
            "telephone_number": "509-755-0372",
            "fax_number": "509-232-6509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W 5TH AVE",
            "address_2": "STE 407",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042841",
            "telephone_number": "509-755-0372",
            "fax_number": "509-232-6509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST INTERNAL MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "SOSS",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "509-926-1299",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00035833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "120988",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00400206",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1123785",
            "state": "WA"
        }
    ],
    "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 Oct 10, 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.