NPIMap

Organization Active NPI

Rockwood Clinic PS

  • Internal Medicine Physician
  • Spokane, WA
National Provider Identifier
1417953787
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ROCKWOOD CLINIC PS
Practice address
400 E 5TH Ave
Spokane, WA 99202-1334
Phone
(509) 838-2531
Fax
(509) 455-5315
NPI assigned
Jun 22, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Christopher McGoldrick
Title
Cfo
Phone
(509) 342-3709

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X WA
Chiropractor 111N00000X WA
Registered Dietitian 133V00000X WA
Optometrist 152W00000X WA
Family Medicine Physician 207Q00000X WA
Internal Medicine Physician 207R00000X WA Primary
Ophthalmology Physician 207W00000X WA
Neurology Physician 2084N0400X WA
Radiation Oncology Physician 2085R0001X
Foot & Ankle Surgery Podiatrist 213ES0103X WA
Physical Therapist 225100000X WA
Massage Therapist 225700000X
Occupational Therapist 225X00000X WA
Physician Assistant 363A00000X WA
Nurse Practitioner 363L00000X WA

Addresses

Primary practice location

400 E 5TH Ave
Spokane, WA 99202-1334

Mailing address

PO Box 3649
Spokane, WA 99220-3649
Phone (509) 838-2531

Other identifiers 7

IdentifierTypeStateIssuer
7014012MedicaidWA
7075310MedicaidWA
2120004MedicaidWA
8064900200MedicaidID
807640100MedicaidID
407472MedicaidMT
003284100MedicaidID

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations (25 of 53)

700 W Ironwood Dr
Ste 334
Coeur D Alene, ID 83814
Phone (208) 664-3604

980 W Ironwood Dr
Ste 205
Coeur D Alene, ID 83814
Phone (208) 765-2610

750 N Syringa St
Ste 200B
Post Falls, ID 83854

1 E Main St
Ste 370
Auburn, WA 98002
Phone (253) 545-5800

417 E Main St
Auburn, WA 98002

10004 204th Ave E
#2400
Bonney Lake, WA 98391

10004 204th Ave E
Ste 2200
Bonney Lake, WA 98391
Phone (253) 447-3300

23131 Bothell Everett Hwy
Ste B
Bothell, WA 98021
Phone (425) 483-3335

17415 SE 272nd St
Ste 142
Covington, WA 98042
Phone (253) 243-7528

17700 SE 272nd St
Ste 300
Covington, WA 98042
Phone (253) 372-7011

17700 SE 272nd St
Ste 360
Covington, WA 98042
Phone (253) 372-7128

4545 Point Fosdick Dr
Ste 215
Gig Harbor, WA 98335
Phone (253) 530-8060

411 Fortuyn Rd
Grand Coulee, WA 99133
Phone (509) 633-1753

12924 SE Kent Kangley Rd
Kent, WA 98030
Phone (253) 215-1097

17700 SE 272nd St
#360
Kent, WA 98042

17700 SE 272nd St
Ste 240
Kent, WA 98042

17700 SE 272nd St
Ste 402
Kent, WA 98042

219 State Ave N
Ste 200
Kent, WA 98030

219 State Ave N
Ste 220
Kent, WA 98030
Phone (206) 764-8019

417 Ramsay Way
Ste 104
Kent, WA 98032

1334 N Whitman Ln
Ste 220
Liberty Lake, WA 99019
Phone 5099241990 ext. 226

1603 Cooper Point Rd NW
Olympia, WA 98502
Phone (360) 438-1161

19835 10th Ave NE
#B
Poulsbo, WA 98370

19835 10th Ave NE
#C
Poulsbo, WA 98370

20730 Bond Rd NE
Ste 140
Poulsbo, WA 98370

Practitioners & affiliated clinicians

Practitioners 181

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 181

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1417953787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3649",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992203649",
            "telephone_number": "509-838-2531",
            "fax_number": "509-455-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E 5TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021334",
            "telephone_number": "509-838-2531",
            "fax_number": "509-455-5315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKWOOD CLINIC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MCGOLDRICK",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "509-342-3709"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": null,
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7014012",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7075310",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2120004",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8064900200",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807640100",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "407472",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003284100",
            "state": "ID"
        }
    ],
    "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 Jul 21, 2022; 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.