South Perry Endoscopy PLLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

MD 0042906 Issued in WA

Legal business name

SOUTH PERRY ENDOSCOPY PLLC

Practice address

907 South Perry Street Suite 203
Spokane, WA 99202

Phone

(509) 868-8816

NPI assigned

Jun 18, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Harold Gerhard Preiksaitis, MDNPI 1962495283

Title

Owner/Ceo

Phone

(509) 868-8816

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• South Perry Endoscopy PLLC

  • Ambulatory Surgical Clinic/Center
  • Spokane, WA
  • NPI 1023507183

  O20171027000651

  Same enrollment

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• South Perry Endoscopy PLLC

  • Ambulatory Surgical Clinic/Center
  • Spokane, WA
  • NPI 1023507183
  NPPES parent name

Practitioners 2

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

• Harold G Preiksaitis, MD

  • Gastroenterology Physician
  • Spokane, WA
  • NPI 1962495283
  Medicare reassignment NPD Authorized official
• Lisanne G Laurier, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Spokane, WA
  • NPI 1912999327
  NPD

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1407238173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 S PERRY ST STE 203",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992023462",
            "telephone_number": "509-868-8816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 SOUTH PERRY STREET SUITE 203",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99202",
            "telephone_number": "509-868-8816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH PERRY ENDOSCOPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-18",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "PREIKSAITIS",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "GERHARD",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "509-868-8816",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WA",
            "license": "MD 0042906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Hill Pediatric Dentistry
• South Hill Periodontics
• South Hill Spinal Care
• South Hill Spinal Care,LLC
• South Perry Endoscopy PLLC
• South Sound Inpatient Physicians PLLC
• Misty Rae Southall, LICSW, MHP, CPC
• Justin Southward, DMD
• Cory R Southwick, RN
• Hannah Nicole Southwick, RN

• Gastroenterology Physician in Spokane, WA
• Providers in Spokane, WA by specialty
• Gastroenterology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.