Northwest Spine, PLLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

MD00047726 Issued in WA

Legal business name

NORTHWEST SPINE, PLLC

Practice address

1017 S 40TH Ave
Yakima, WA 98908-3805

Phone

(509) 654-2712

NPI assigned

May 12, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Gus K Varnavas, M.D

Title

Neurosurgeon

Phone

(509) 853-8730

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Abhijit G Deshpande, MD

  • Sleep Medicine (Internal Medicine) Physician
  • Santa Rosa, CA
  • NPI 1326018821
  NPD (past)

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

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305158400000",
    "number": "1366734063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 S 40TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083805",
            "telephone_number": "509-654-2712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 S 40TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083805",
            "telephone_number": "509-654-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST SPINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-12",
        "last_updated": "2011-05-12",
        "status": "A",
        "authorized_official_last_name": "VARNAVAS",
        "authorized_official_first_name": "GUS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "NEUROSURGEON",
        "authorized_official_telephone_number": "509-853-8730",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "WA",
            "license": "MD00047726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwest Medical Clinic
• Northwest Neurosciences
• Northwest Nursing Consultants
• Northwest Physical Therapy, Inc
• Northwest Spine Surgery, LLC
• Northwest Surgery Center
• Northwest Work Options
• Denton Cecil Norwood, M.S, ATC, AT/L
• Kayla Marie Norwood, PTA
• Melissa Nott

• Neurological Surgery Physician in Yakima, WA
• Providers in Yakima, WA by specialty
• Neurological Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; 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.