Spokane Urology, PLLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SPOKANE UROLOGY, PLLC

Doing business as

Urology Surgery Center Northwest

Practice address

1401 E Trent Ave # 100
Spokane, WA 99202-2902

Phone

(505) 747-3147

NPI assigned

Jul 27, 2022

Last updated

Apr 22, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

SPOKANE UROLOGY, PLLCAs reported in NPPES

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

Authorized official

Name

Rexford Hackney, RN

Title

Administrator

Phone

(509) 245-6858

Specialties & licenses 2

Addresses

Other names 1

• Urology Surgery Center Northwest Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Spokane Urology PLLC

  • Durable Medical Equipment & Medical Supplies
  • Spokane Valley, WA
  • NPI 1538870134

  5991603367

  Same PAC ID
• Spokane Urology PLLC

  • Urology Physician
  • Spokane, WA
  • NPI 1912015439

  5991603367

  Same PAC ID

Listed as

Spokane Urology PLLC Dba Urology Surgery Center NorthwestCCN 50C0001343

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Spokane Urology PLLC2 organizations share this tax ID, including this one

Part of

Spokane Urology PLLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Spokane Urology PLLC

  • Durable Medical Equipment & Medical Supplies
  • Spokane Valley, WA
  • NPI 1538870134
  NPD tax ID

Member of 1

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

• Alliance Physician Services, PC

  dba Associated Urologists of North Carolina

  • Urology Physician
  • Clayton, NC
  • NPI 1043184518

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1457087926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 E TRENT AVE # 100",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992022902",
            "telephone_number": "509-747-3147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 E TRENT AVE # 100",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992022902",
            "telephone_number": "505-747-3147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPOKANE UROLOGY, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPOKANE UROLOGY, PLLC",
        "enumeration_date": "2022-07-27",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "HACKNEY",
        "authorized_official_first_name": "REXFORD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "509-245-6858",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urology Surgery Center Northwest",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Urology Surgery Center Northwest",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Spokane Therapist LLC
• Spokane Treatment and Recovery Services
• Spokane United Methodist Homes (Rockwood Manor)
• Spokane United Methodist Homes (Rockwood at Hawthorne)
• Spokane Urology PLLC
• Spokane Valley Medical, Inc (Valley Mission Homecare Pharmacy)
• Spokane Vamc
• Spokane Vamc
• Spokane Vamc
• Spokane Vamc

• Ambulatory Surgical Clinic/Center in Spokane, WA
• Providers in Spokane, WA by specialty
• Ambulatory Surgical Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.