NPIMap

Individual provider Active NPI

Ryne Dougherty

  • Diagnostic Radiology Physician
  • Spokane, WA
National Provider Identifier
1477915890
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MED-PHYS-LIC-104836 Issued in MT
Practice address
101 W 8TH Ave
Spokane, WA 99204-2307
Phone
(509) 474-3020
NPI assigned
Mar 24, 2016
Last updated
Mar 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X MED-PHYS-LIC-104836 MT
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X MED-PHYS-LIC-104836 MT Primary

Addresses

Primary practice location

101 W 8TH Ave
Spokane, WA 99204-2307

Mailing address

801 S Stevens St
Spokane, WA 99204-2654
Phone (509) 747-4455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, WA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220608002171 MT Practitioner - Diagnostic Radiology 6204127293 Reassigns benefits to 3 organizations
I20220608002323 WA Practitioner - Diagnostic Radiology 6204127293 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Mayo Medical School, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integra Imaging PSGroup PAC ID 1355593062, 126 clinicians
Inland Imaging Associates PSGroup PAC ID 7810327210, 124 clinicians
Inland Imaging LLCGroup PAC ID 6608763016, 128 clinicians

Practice addresses (Care Compare)

101 W 8TH Ave
Spokane, WA 99204-2307
Phone (509) 363-7745

1200 12TH Ave S
Seattle, WA 98144-2712
Phone (509) 363-7788

2360 Mullan Rd
Suite C
Missoula, MT 59808-1811
Phone (509) 363-7788

525 S Cowley St
Spokane, WA 99202-1381
Phone (509) 747-4455

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MED-PHYS-LIC-104836MTMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia County Hospital District CurrentSince Jan 1, 2026 Accepting new patients
Integra Imaging, PS Diagnostic Radiology CurrentSince May 26, 2022 Accepting new patients
Integra Imaging, PS Diagnostic Radiology CurrentSince May 26, 2022 Accepting new patients
Okanogan Douglas County Hospital Dist 1 Current Accepting new patients
Okanogan Douglas County Hospital Dist1 CurrentSince Jun 27, 2022 Accepting new patients
Grant County Public Hospital District 2 CurrentSince Jul 1, 2022 Accepting new patients
Columbia County Hospital District CurrentSince Jun 1, 2022 Accepting new patients
Moses Lake Community Health Center CurrentSince Mar 1, 2024 Accepting new patients
Okanogan Douglas County Hospital Dist 1 CurrentSince Jun 27, 2022 Accepting new patients
Moses Lake Community Health Center CurrentSince Mar 1, 2024 Accepting new patients
Columbia County Hospital District CurrentSince Jun 1, 2022 Accepting new patients
Inland Imaging LLC Diagnostic Radiology CurrentSince May 26, 2022 Accepting new patients
Inland Imaging Associates PS Diagnostic Radiology CurrentSince May 26, 2022 Accepting new patients

Locations

2360 Mullan Rd
Ste C
Missoula, MT 59808
Phone (406) 542-9695

2419 Mullan Rd
Ste D
Missoula, MT 59808
Phone (406) 540-1512

2740 South Ave W
Missoula, MT 59804
Phone (406) 728-6010

500 E Webster Ave
Chewelah, WA 99109
Phone (509) 482-2154

1012 S 3rd St
Dayton, WA 99328
Phone (509) 382-2531

605 S Coolidge St
#101
Moses Lake, WA 98837
Phone (509) 765-0674

1450 1st Ave SW
Quincy, WA 98848
Phone (509) 787-6423

908 10th Ave SW
Quincy, WA 98848
Phone (509) 787-3503

1145 Broadway
Seattle, WA 98122

1200 12th Ave S
Seattle, WA 98144
Phone (206) 326-2400

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

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

525 S Cowley St
Spokane, WA 99202
Phone (509) 625-3397

801 S Stevens St
Spokane, WA 99204
Phone (206) 621-4316

Interoperability endpoints

  • Direct secure messaging: rdougherty575737@direct.hfhs.org

Organizations & group practices 14

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

View all 14

Hospital & facility affiliations 8

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": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1477915890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S STEVENS ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042654",
            "telephone_number": "509-747-4455",
            "fax_number": "509-363-7064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W 8TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042307",
            "telephone_number": "509-474-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "RYNE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-24",
        "last_updated": "2023-03-17",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MT",
            "license": "MED-PHYS-LIC-104836",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MT",
            "license": "MED-PHYS-LIC-104836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.