Gage Inpatient Services

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

GAGE INPATIENT SERVICES

Practice address

1221 Highland Ave
Clarkston, WA 99403-2829

Phone

(208) 799-5522

NPI assigned

Jul 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Angel Iscovich, MD

Title

President/Owner

Phone

(214) 712-2403

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Strobel, MD

  • Internal Medicine Physician
  • Clarkston, WA
  • NPI 1578581740
  NPD (past)
• Jane A Fore, MD

  • Internal Medicine Physician
  • Lewiston, ID
  • NPI 1063445385
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1396779328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13651",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191013651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 HIGHLAND AVE",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994032829",
            "telephone_number": "208-799-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAGE INPATIENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "ISCOVICH",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "214-712-2403",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDAHO BLUE CROSS",
            "identifier": "DUTD5",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7134851",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dannette Frasier
• Samantha Frederick
• Christie Fredericksen
• Donald Daryl Fredericksen, MPT
• David Christopher Free, DNP, FNP-C, ACHPN
• Christine Garcia, RN
• Wendy Marie Geffe, PHARMD
• Gurpreet Gill
• Erin Gordon
• Sydni Marie Gormsen, MA

• Internal Medicine Physician in Clarkston, WA
• Providers in Clarkston, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.