Individual provider Active NPI

Melanie Elizabeth Cooper Flaigle, D.O

  • Pediatric Critical Care Medicine Physician
  • Spokane, WA
National Provider Identifier
1487897559
Registry record updated Oct 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X
License
OP60564465 Issued in WA
Practice address
35 W 8TH Ave
Spokane, WA 99204-2361
Phone
(509) 456-6556
NPI assigned
Apr 19, 2009
Last updated
Oct 18, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X OP 60564465 WA
Pediatric Critical Care Medicine Physician 2080P0203X OP 60564465 WA
Pediatric Critical Care Medicine Physician 2080P0203X OP60564465 WA Primary

Addresses

Primary practice location

35 W 8TH Ave
Spokane, WA 99204-2361

Mailing address

35 W 8TH Ave
Spokane, WA 99204-2361
Phone (509) 456-6556

Other practice location 1

35 W 8th Ave
Suite 442
Spokane, WA 99204-2361
Phone (913) 908-1869

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20130226000053 MD Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 5092960963

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OP 60564465WAMDPediatric Critical Care Medicine Physician
OP60564465WAMDPediatric Critical Care Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services - Wa Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1240099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539820800000",
    "number": "1487897559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 W 8TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042361",
            "telephone_number": "509-456-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 W 8TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042361",
            "telephone_number": "509-456-6556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 W 8th Ave",
            "address_2": "Suite 442",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992042361",
            "country_code": "US",
            "telephone_number": "913-908-1869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER FLAIGLE",
        "first_name": "MELANIE",
        "middle_name": "ELIZABETH",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-19",
        "last_updated": "2018-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "OP 60564465",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "WA",
            "license": "OP 60564465",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "WA",
            "license": "OP60564465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.