NPIMap

Organization Active NPI

Columbia Surgical Specialists, PS

  • Ambulatory Surgical Clinic/Center
  • Spokane, WA
National Provider Identifier
1477617751
Registry record updated Oct 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
ASF.FS.60099962 Issued in WA
Legal business name
COLUMBIA SURGICAL SPECIALISTS, PS
Practice address
217 W Cataldo
Spokane, WA 99201
Phone
(509) 624-2326
Fax
(509) 252-2837
NPI assigned
Dec 20, 2006
Organization subpart
Yes
Parent organization
COLUMBIA SURGICAL SPECIALISTS, PSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 9, 2014

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

Authorized official

Name
Rod J. Emerson
Title
Ceo
Phone
(509) 624-2326

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X ASF.FS.60099962 WA Primary

Addresses

Primary practice location

217 W Cataldo
Spokane, WA 99201

Mailing address

PO Box 2242
Spokane, WA 99210-2242
Phone (509) 624-2326

Other identifiers 1

IdentifierTypeStateIssuer
50C0001176OtherWAMEDICARE ASC CERTIFICATION

Other names 1

  • Columbia Surgery Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040407001509 WA Part B Supplier - Ambulatory Surgical Center 2860305505 Receives reassigned benefits from 2 practitioners
Practice locations: Spokane, WA

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Spokane Ear Nose and Throat Clinic PSCCN 50C0001176
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Part of
Columbia Surg Spec PS

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

910 N Washington St
#910
Spokane, WA 99201
Phone (509) 624-2326

Practitioners & affiliated clinicians

Practitioners 48

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

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412812800000",
    "number": "1477617751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2242",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992102242",
            "telephone_number": "509-624-2326",
            "fax_number": "509-789-5702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 W CATALDO",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99201",
            "telephone_number": "509-624-2326",
            "fax_number": "509-252-2837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA SURGICAL SPECIALISTS, PS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLUMBIA SURGICAL SPECIALISTS, PS",
        "enumeration_date": "2006-12-20",
        "last_updated": "2014-10-09",
        "status": "A",
        "authorized_official_last_name": "EMERSON",
        "authorized_official_first_name": "ROD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "509-624-2326"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WA",
            "license": "ASF.FS.60099962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ASC CERTIFICATION",
            "identifier": "50C0001176",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbia Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 9, 2014; 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.