North Spokane Gynecology and Cosmetic Laser PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

025209 MD00020672 Issued in WA

Legal business name

NORTH SPOKANE GYNECOLOGY AND COSMETIC LASER PC

Practice address

235 E Rowan Ave
Suite 109
Spokane, WA 99207-1240

Phone

(509) 482-4313

Fax

(509) 482-2918

NPI assigned

Nov 15, 2007

Last updated

Jan 20, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan J Tewel, M.D.

Title

President

Phone

(509) 482-4313

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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.

• Billie Jean Kerr, NP

  • Women's Health Nurse Practitioner
  • Spokane, WA
  • NPI 1093795361
  NPD (past)

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263945600000",
    "number": "1437330735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 E ROWAN AVE",
            "address_2": "SUITE 109",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992071240",
            "telephone_number": "509-482-4313",
            "fax_number": "509-482-2918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 E ROWAN AVE",
            "address_2": "SUITE 109",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992071240",
            "telephone_number": "509-482-4313",
            "fax_number": "509-482-2918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SPOKANE GYNECOLOGY AND COSMETIC LASER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2010-01-20",
        "status": "A",
        "authorized_official_last_name": "TEWEL",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-482-4313",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "025209 MD00020672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1083777387",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1067404",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Central SNF Operations LLC (Emerson Health & Rehabilitation)
• North East Washington Treatment Alternatives (Newta)
• North River Psychotherapy
• North Spokane Counseling, Inc
• North Spokane Dental
• North Spokane Pulmonary Clinic, P.S.
• North Spokane Womens Health PS
• Northeast Washington Educational Service District 101
• Northeast Washington Educational Service District 101
• Northern Pines ABA

• Specialist in Spokane, WA
• Providers in Spokane, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; 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.