Columbia Surgical Specialists, PS
Organization Active NPI Surgery Physician · Spokane, WA
NPI 1417067372 · NPPES record last updated Dec 4, 2013
Key facts
- NPI
- 1417067372
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 208600000X
- License
- UBI600047769 (WA)
- Legal business name
- COLUMBIA SURGICAL SPECIALISTS, PS
- Practice address
- 217 W Cataldo
Spokane, WA 99201-2217 - Phone
- (509) 252-2838
- Fax
- (509) 252-2837
- NPI assigned
- Aug 30, 2006
- Organization subpart
- No
Authorized official
- Name
- Rod J. Emerson
- Title
- Ceo
- Phone
- (509) 624-2326
Other NPIs with the same Medicare PAC ID 1
Practitioners 52
-
Virginie Achim, MD
-
Timothy W Bax, MD
-
Nicholas Gerard Berger, M.D.
-
Megan Christine Bisbee, ARNP
-
David Michael Brown, M.D.
-
Jon C Clyde, MD
-
Krystal Ann Colwill, ARNP
-
Molly Dahl, M.D
-
Robert D. Dieter, PA-C
-
Clare Regina Gallagher, AU.D.
-
Betty A Gilchrist, M.A., CCC-A
-
Daniel Gilsdorf, M.D.
-
Shelby Mae Gordon, PT, DPT
-
Ennessa Ivy Gorkovchenko, PA-C
-
Michele Greenwood, AUD
-
Carol R Guthrie, MD
-
Sarah Linn Hammil, M.D.
-
Tiffany Lynn Jenson, MPT ATC
-
Hannah Jones, AUD
-
Adam Herz Juviler, M.D.
-
Karee L. Ledeboer, ARNP
-
Paul H Lin, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031110000300 | WA | Part B Supplier - Clinic/Group Practice | 2860305505 |
Receives reassigned benefits from 52 practitioners Practice locations: Spokane, WA; Spokane Valley, WA |
National Provider Directory
Locations
920 N Washington St
Ste 200
Spokane, WA 99201
Phone (509) 252-4200
105 W 8th Ave
Ste 7010
Spokane, WA 99204
Phone (509) 353-3901
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician |
207Y00000X | |||
| Otolaryngology Physician |
207Y00000X | UBI600047769 | WA | |
| Surgery Physician |
208600000X | UBI600047769 | WA | Yes |
Addresses
Primary practice location
217 W Cataldo
Spokane, WA 99201-2217
Mailing address
PO Box 2242
Spokane, WA 99210-2242
Phone (509) 624-2326
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7834500 | Medicaid | WA |
Other names
- Spokane Ear Nose and Throat Clinic, PS
Other providers in Spokane, WA
- Columbia Medical Associates LLC
- Columbia Medical Associates, LLC
- Columbia Pelvic Health, PLLC
- Columbia Surgery Center LLC
- Columbia Surgical Specialists
- Columbia Surgical Specialists, PS
- John R Colver
- Michael Colver
- Jennifer C Colvin
- Kyle L Colvin
All providers in Spokane, WA · Surgery Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.