Individual provider Active NPI

Scott J Tetz, DO

  • Internal Medicine Physician
  • Spokane, WA
National Provider Identifier
1437529773
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OP61035567 Issued in WA
Practice address
605 E Holland Ave Ste 101
Spokane, WA 99218-1246
Phone
(509) 342-3010
Fax
(509) 342-3011
NPI assigned
Sep 29, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OP61035567 WA Primary

Addresses

Primary practice location

605 E Holland Ave Ste 101
Spokane, WA 99218-1246

Mailing address

605 E Holland Ave Ste 101
Spokane, WA 99218-1246
Phone (509) 342-3010

Other practice location 1

111 University Pkwy
Yakima, WA 98901-1471
Phone (509) 452-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210203000607 WA Practitioner - Internal Medicine 3072927052 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Pacific NW Un of HS, Col of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

101 W 8TH Ave
Spokane, WA 99204-2307
Phone (509) 474-3131

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Internal Medicine CurrentSince Mar 12, 2021 Accepting new patients
Multicare Health System CurrentSince Mar 12, 2021 Accepting new patients
Providence Health & Services Washington CurrentSince Jan 12, 2021 Accepting new patients
Multicare Health System Current Accepting new patients
Providence Health & Services Washington Internal Medicine CurrentSince Jan 12, 2021 Accepting new patients
Providence Health & Services - Washington Past Accepting new patients

Locations

1200 E Columbia Ave
Colville, WA 99114
Phone (509) 684-3701

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

605 E Holland Ave
Ste 101
Spokane, WA 99218
Phone (509) 342-3010

101 W 8th Ave
Spokane, WA 99204
Phone (509) 474-3181

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1437529773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 E HOLLAND AVE STE 101",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181246",
            "telephone_number": "509-342-3010",
            "fax_number": "509-342-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 E HOLLAND AVE STE 101",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181246",
            "telephone_number": "509-342-3010",
            "fax_number": "509-342-3011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 University Pkwy",
            "address_purpose": "LOCATION",
            "city": "Yakima",
            "state": "WA",
            "postal_code": "989011471",
            "country_code": "US",
            "telephone_number": "509-452-5100",
            "fax_number": "509-452-5101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TETZ",
        "first_name": "SCOTT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-29",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "OP61035567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.