Organization Active NPI

Nathan P Stime MD Riverside Medical-Dental Clinic

  • Family Medicine Physician
  • Chattaroy, WA
National Provider Identifier
1376512293
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10797 Issued in WA
Legal business name
NATHAN P STIME MD RIVERSIDE MEDICAL-DENTAL CLINIC
Practice address
34705 N Newport Hwy
Suite a
Chattaroy, WA 99003-7711
Phone
(509) 292-2700
Fax
(509) 292-9744
NPI assigned
Mar 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Dr. Nathan P Stime, MDNPI 1912976838
Title
Owner
Phone
(509) 292-2700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 10797 WA Primary

Addresses

Primary practice location

34705 N Newport Hwy
Suite a
Chattaroy, WA 99003-7711

Mailing address

34705 N Newport Hwy
Suite a
Chattaroy, WA 99003-7711
Phone (509) 292-2700

Other identifiers 1

IdentifierTypeStateIssuer
1539907MedicaidWA

National Provider Directory

National Provider Directory

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": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1376512293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34705 N NEWPORT HWY",
            "address_2": "SUITE A",
            "city": "CHATTAROY",
            "state": "WA",
            "postal_code": "990037711",
            "telephone_number": "509-292-2700",
            "fax_number": "509-292-9744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34705 N NEWPORT HWY",
            "address_2": "SUITE A",
            "city": "CHATTAROY",
            "state": "WA",
            "postal_code": "990037711",
            "telephone_number": "509-292-2700",
            "fax_number": "509-292-9744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHAN P STIME MD RIVERSIDE MEDICAL-DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "STIME",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-292-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "10797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1539907",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattaroy, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.