Active NPI
Susan J Alexander, MD, FACC
- Interventional Cardiology Physician
- Spokane, WA
National Provider Identifier
1356355481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- MD00040707
- Practice address
- 122 W 7TH Ave
450
Spokane, WA 99204-2349 - Phone
- (509) 455-8820
- Fax
- (509) 838-4978
- NPI assigned
- Jul 27, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD00040707 | WA | |
| Interventional Cardiology Physician | 207RI0011X | MD00040707 | WA | Primary |
Addresses
Primary practice location
122 W 7TH Ave
450
Spokane, WA 99204-2349
Mailing address
PO Box 331
Liberty Lake, WA 99019-0331
Phone (866) 747-2455
Other practice location 1
62 W 7th Ave Ste 450
Spokane, WA 99204-2321
Phone (509) 455-8820
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8296832 | Medicaid | WA | |
| P00085616 | Other | WA | RRB |
| 806271400 | Medicaid | ID |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | salexander220225@wm.providencedirect.org | Direct |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inland Cardiology Associates, P.S. | Cardiovascular Disease | Past | Accepting new patients |
| Providence Health & Services-Wa | Past | Accepting new patients | |
| Kootenai Health, Inc. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Cardiovascular Disease Physician
- Spokane, WA
- NPI 1679522106
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Spokane, WA
- NPI 1538311287
-
- Psychiatry Physician
- Coeur D Alene, ID
- NPI 1174661151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636588800000",
"number": "1356355481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 331",
"city": "LIBERTY LAKE",
"state": "WA",
"postal_code": "990190331",
"telephone_number": "866-747-2455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 W 7TH AVE",
"address_2": "450",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992042349",
"telephone_number": "509-455-8820",
"fax_number": "509-838-4978"
}
],
"practiceLocations": [
{
"address_1": "62 W 7th Ave Ste 450",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992042321",
"country_code": "US",
"telephone_number": "509-455-8820",
"fax_number": "509-838-4978",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALEXANDER",
"first_name": "SUSAN",
"middle_name": "J",
"credential": "MD, FACC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2021-11-11",
"certification_date": "2021-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "WA",
"license": "MD00040707",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "WA",
"license": "MD00040707",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8296832",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRB",
"identifier": "P00085616",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "806271400",
"state": "ID"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "salexander220225@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "62 W 7th Ave Ste 450",
"city": "Spokane",
"state": "WA",
"country_code": "US",
"postal_code": "992042321",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.