NPIMap

Individual provider Active NPI

Michael C Coan, D.O.

  • Rheumatology Physician
  • Spokane, WA
National Provider Identifier
1386955904
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
OP60291975 Issued in WA
Practice address
105 W 8TH Ave Ste 6080
Spokane, WA 99204-2313
Phone
(509) 838-6500
Fax
(509) 838-6561
NPI assigned
Jun 29, 2010
Last updated
Mar 25, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X O0917 ID
Rheumatology Physician 207RR0500X OP60291975 WA Primary

Addresses

Primary practice location

105 W 8TH Ave Ste 6080
Spokane, WA 99204-2313

Mailing address

105 W 8TH Ave Ste 6080
Spokane, WA 99204-2313
Phone (509) 838-6500

Other practice location 1

700 W Ironwood Dr
Suite 275W
Coeur D Alene, ID 83814-2656
Phone (208) 625-4780

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121107000529 WA Practitioner - Internal MedicinePractitioner - Rheumatology 7618148990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Rheumatology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arthritis Northwest PLLCGroup PAC ID 6901796762, 7 clinicians

Practice addresses (Care Compare)

105 W 8TH Ave
Suite 6080
Spokane, WA 99204-2313
Phone (509) 838-6500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
O0917IDMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arthritis Northwest PLLC CurrentSince Jan 1, 2019 Accepting new patients
Kootenai Health, Inc. Past Accepting new patients

Locations

105 W 8th Ave
Ste 6080
Spokane, WA 99204
Phone (509) 484-5355

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: michael.coan.p1@direct.anw.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1386955904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W 8TH AVE STE 6080",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042313",
            "telephone_number": "509-838-6500",
            "fax_number": "509-838-6561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W 8TH AVE STE 6080",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042313",
            "telephone_number": "509-838-6500",
            "fax_number": "509-838-6561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 W Ironwood Dr",
            "address_2": "Suite 275W",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838142656",
            "country_code": "US",
            "telephone_number": "208-625-4780",
            "fax_number": "208-625-4781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COAN",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-29",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "ID",
            "license": "O0917",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "WA",
            "license": "OP60291975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.