Ann Alexander Abraham, M.D.
Individual provider Active NPI Pediatric Gastroenterology Physician · Spokane, WA
NPI 1376938514 · NPPES record last updated Aug 25, 2021
Key facts
- NPI
- 1376938514
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Gastroenterology Physician 2080P0206X
- License
- D86088 (MD)
- Practice address
- 105 W 8TH Ave Ste 7060
Spokane, WA 99204-2327 - Phone
- (509) 474-5437
- Fax
- (509) 227-7070
- NPI assigned
- Apr 4, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211109001621 | WA | Practitioner - Pediatric Medicine | 2466790399 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D86088 | MD | MD | Pediatric Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Washington | Current |
Accepting new patients | |
| Providence Health & Services Washington | Current |
Accepting new patients | |
| Providence Health & Services - Washington | Past | Accepting new patients |
Locations
1200 E Columbia Ave
Colville, WA 99114
Phone (509) 684-3701
105 W 8th Ave
Ste 7060
Spokane, WA 99204
Phone (509) 474-5437
105 W 8th Ave
Ste 7010
Spokane, WA 99204
Phone (509) 353-3901
Interoperability endpoints
- aabraham2031031@wm.providencedirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Gastroenterology Physician | 2080P0206X | D86088 | MD | Yes |
Addresses
Primary practice location
105 W 8TH Ave Ste 7060
Spokane, WA 99204-2327
Mailing address
1201 W Mount Royal Ave Unit 655
Baltimore, MD 21217-5567
Phone (516) 713-6337
Other providers in Spokane, WA
- Fallon E Abolafia
- Lailaa Ahmed Aboseid
- Jamil Abou-Harb
- Above and Beyond Psychiatry PLLC
- Aman Andebrahan Abraha
- Sabeena Abraham
- David A Abramov
- Anna Abramyan
- Kenneth J Absalonson
- Naim Abualshar
All providers in Spokane, WA · Pediatric Gastroenterology Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.