Organization Active NPI

Spokane Hyperbaric Center LLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Spokane, WA
National Provider Identifier
1437333473
Registry record updated Dec 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X
Legal business name
SPOKANE HYPERBARIC CENTER LLC
Practice address
13007 E Misson Ave
Spokane, WA 99216
Phone
(509) 922-6552
Fax
(509) 891-2876
NPI assigned
Dec 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2007

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

Authorized official

Name
Alan Kay Griffone
Title
Owner/Manager
Phone
(509) 922-6552

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2083P0011X WA Primary

Addresses

Primary practice location

13007 E Misson Ave
Spokane, WA 99216

Mailing address

13007 E Misson Ave
Spokane, WA 99216
Phone (509) 922-6552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080213000714 WA Part B Supplier - Clinic/Group Practice 7719060771 Receives reassigned benefits from 1 practitioner
Practice locations: Spokane Valley, WA

National Provider Directory

National Provider Directory

Locations

13007 E Mission Ave
Spokane Valley, WA 99216
Phone (509) 922-6552

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1437333473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13007 E MISSON AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99216",
            "telephone_number": "509-922-6552",
            "fax_number": "509-891-2876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13007 E MISSON AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99216",
            "telephone_number": "509-922-6552",
            "fax_number": "509-891-2876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPOKANE HYPERBARIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "GRIFFONE",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "509-922-6552"
    },
    "taxonomies": [
        {
            "code": "2083P0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "WA",
            "license": null,
            "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 Dec 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.