Active NPI
Jeffrey G Hedge, D.O
- Psychiatry Physician
- Spokane, WA
National Provider Identifier
1407935521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- OP00001320
- Practice address
- 906 W 2ND Ave Ste 600
Spokane, WA 99201-4539 - Phone
- (509) 458-5889
- Fax
- (509) 624-1216
- NPI assigned
- Nov 2, 2006
- Last updated
- Feb 23, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | OP00001320 | WA | Primary |
Addresses
Primary practice location
906 W 2ND Ave Ste 600
Spokane, WA 99201-4539
Mailing address
906 W 2ND Ave Ste 600
Spokane, WA 99201-4539
Phone (509) 458-5889
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Midwestern University, Chicago College of Osteopathic Med, 1983
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
Spokane, WA 99203
Phone (509) 458-5889
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP00001320 | WA | MD | Psychiatry Physician |
Organizations & group practices 1
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.
-
- Psychiatry Physician
- Spokane, WA
- NPI 1962942748
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329955200000",
"number": "1407935521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "906 W 2ND AVE STE 600",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992014539",
"telephone_number": "509-458-5889",
"fax_number": "509-624-1216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "906 W 2ND AVE STE 600",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992014539",
"telephone_number": "509-458-5889",
"fax_number": "509-624-1216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEDGE",
"first_name": "JEFFREY",
"middle_name": "G",
"credential": "D.O",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2012-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WA",
"license": "OP00001320",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.