Spokane Internal Medicine, P.S.

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

600 228 682 Issued in WA

Legal business name

SPOKANE INTERNAL MEDICINE, P.S.

Practice address

1215 N McDonald Rd
Ste 101
Spokane Valley, WA 99216-1048

Phone

(509) 924-1950

Fax

(509) 921-0017

NPI assigned

Feb 23, 2007

Organization subpart

No

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

Authorized official

Name

Thomas Carli

Title

Office Administrator

Phone

(509) 922-8203

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Paul D Gibb, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Spokane Valley, WA
  • NPI 1811905920
  NPD
• Glen W Ruark, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Spokane Valley, WA
  • NPI 1740298850
  NPD (past)

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1437284841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 N MCDONALD RD",
            "address_2": "STE 101",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161048",
            "telephone_number": "509-924-1950",
            "fax_number": "509-921-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 N MCDONALD RD",
            "address_2": "STE 101",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161048",
            "telephone_number": "509-924-1950",
            "fax_number": "509-921-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPOKANE INTERNAL MEDICINE, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "CARLI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "509-922-8203"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "WA",
            "license": "600 228 682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7052905",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Spokane Critical Care Associates, PS
• Spokane Digital Diagnostic
• Spokane Endodontics PS
• Spokane Eye Clinic PS
• Spokane Integrative Health, Inc.
• Spokane Massage, PLLC
• Spokane of Cascadia, LLC
• Spokane of Olympus, LLC
• Spokane Oms
• Spokane Optical Company LLC

• Geriatric Medicine (Internal Medicine) Physician in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Geriatric Medicine (Internal Medicine) Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.