Individual provider Active NPI

Patrick O'Malley Tennican, M.D.

  • Infectious Disease Physician
  • Spokane, WA
National Provider Identifier
1366764284
Registry record updated Feb 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MD 00011313 Issued in WA
Practice address
665 N. Riverpoint Blvd.
Suite 410
Spokane, WA 99202-1665
Phone
(509) 994-4423
Fax
(509) 443-7036
NPI assigned
Feb 19, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X MD 00011313 WA Primary

Addresses

Primary practice location

665 N. Riverpoint Blvd.
Suite 410
Spokane, WA 99202-1665

Mailing address

665 N. Riverpoint Blvd.
Suite 410
Spokane, WA 99202-1665
Phone (509) 994-4423

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD 00011313WAMDInfectious Disease Physician

NPI Registry JSON

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

{
    "created_epoch": "1266537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266537600000",
    "number": "1366764284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 N. RIVERPOINT BLVD.",
            "address_2": "SUITE 410",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021665",
            "telephone_number": "509-994-4423",
            "fax_number": "509-443-7036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 N. RIVERPOINT BLVD.",
            "address_2": "SUITE 410",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021665",
            "telephone_number": "509-994-4423",
            "fax_number": "509-443-7036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENNICAN",
        "first_name": "PATRICK",
        "middle_name": "O'MALLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-19",
        "last_updated": "2010-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "WA",
            "license": "MD 00011313",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 19, 2010; 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.