Individual provider Active NPI

Jedidiah Schlung

  • Diagnostic Radiology Physician
  • Spokane, WA
National Provider Identifier
1386008548
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD61242081 Issued in WA
Practice address
Integra Imaging PS
801 S Stevens Street
Spokane, WA 99204
Phone
(509) 747-4455
Fax
(509) 363-7064
NPI assigned
Apr 13, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MED-PHYS-LIC-104066 MT
Diagnostic Radiology Physician 2085R0202X 74722-20 WI
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X MD61242081 WA Primary

Addresses

Primary practice location

Integra Imaging PS
801 S Stevens Street
Spokane, WA 99204

Mailing address

Integra Imaging PS
801 S Stevens Street
Spokane, WA 99204
Phone (509) 747-4455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, MT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220613000787 WA Practitioner - Diagnostic Radiology 7618214933 Reassigns benefits to 11 organizations
I20220620001094 MT Practitioner - Diagnostic Radiology 7618214933 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of California, San Diego School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integra Imaging PSGroup PAC ID 1355593062, 126 clinicians
Inland Imaging LLCGroup PAC ID 6608763016, 128 clinicians

Practice addresses (Care Compare)

101 W 8TH Ave
Spokane, WA 99204-2307
Phone (509) 363-7745

2360 Mullan Rd
Suite C
Missoula, MT 59808-1811
Phone (509) 363-7788

525 S Cowley St
Spokane, WA 99202-1381
Phone (509) 747-4455

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MED-PHYS-LIC-104066MTMDDiagnostic Radiology Physician
MD61242081WAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia County Hospital District CurrentSince Jan 12, 2026 Accepting new patients
Inland Imaging Associates PS Diagnostic Radiology CurrentSince May 26, 2022 Accepting new patients
Okanogan Douglas County Hospital Dist1 CurrentSince Jun 27, 2022 Accepting new patients
Columbia County Hospital District CurrentSince Jun 1, 2022 Accepting new patients
Moses Lake Community Health Center CurrentSince May 30, 2023 Accepting new patients
Integra Imaging, PS Diagnostic Radiology CurrentSince May 26, 2022 Accepting new patients
The Polyclinic PLLC CurrentSince Jul 1, 2022 Accepting new patients
Moses Lake Community Health Center CurrentSince May 30, 2023 Accepting new patients
The Polyclinic CurrentSince Jul 1, 2022 Accepting new patients
Columbia County Hospital District CurrentSince Jun 1, 2022 Accepting new patients
Inland Imaging LLC Diagnostic Radiology CurrentSince May 26, 2022 Accepting new patients
The Polyclinic PLLC Current Accepting new patients
Integra Imaging, PS Diagnostic Radiology CurrentSince May 26, 2022 Accepting new patients
Okanogan Douglas County Hospital Dist 1 Current Accepting new patients
Grant County Public Hospital District 2 CurrentSince Jul 31, 2022 Accepting new patients
Okanogan Douglas County Hospital Dist 1 CurrentSince Jun 27, 2022 Accepting new patients
Grant County Public Hospital District 3 CurrentSince May 1, 2025 Accepting new patients

Locations

2740 South Ave W
Missoula, MT 59804
Phone (406) 728-6010

2360 Mullan Rd
Ste C
Missoula, MT 59808
Phone (406) 542-9695

2419 Mullan Rd
Ste D
Missoula, MT 59808
Phone (406) 540-1512

500 E Webster Ave
Chewelah, WA 99109
Phone (509) 482-2154

1012 S 3rd St
Dayton, WA 99328
Phone (509) 382-2531

200 Nat Washington Way
Ephrata, WA 98823
Phone (509) 754-3330

605 S Coolidge St
#101
Moses Lake, WA 98837
Phone (509) 765-0674

908 10th Ave SW
Quincy, WA 98848
Phone (509) 787-3503

1450 1st Ave SW
Quincy, WA 98848
Phone (509) 787-6423

1200 12th Ave S
Seattle, WA 98144
Phone (206) 326-2400

1145 Broadway
Seattle, WA 98122

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

101 W 8th Ave
Spokane, WA 99204
Phone (509) 474-3181

801 S Stevens St
Spokane, WA 99204
Phone (206) 621-4316

525 S Cowley St
Spokane, WA 99202
Phone (509) 625-3397

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1386008548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "INTEGRA IMAGING PS",
            "address_2": "801 S STEVENS STREET",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99204",
            "telephone_number": "509-747-4455",
            "fax_number": "509-363-7064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "INTEGRA IMAGING PS",
            "address_2": "801 S STEVENS STREET",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99204",
            "telephone_number": "509-747-4455",
            "fax_number": "509-363-7064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLUNG",
        "first_name": "JEDIDIAH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-13",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MT",
            "license": "MED-PHYS-LIC-104066",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "74722-20",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD61242081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.