Individual provider Active NPI

Tod E Fleming, PA-C

  • Physician Assistant
  • Spokane, WA
National Provider Identifier
1497708796
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA10003430 Issued in WA
Practice address
601 W 5TH Ave Ste 400
Spokane, WA 99204-2715
Phone
(509) 344-2663
Fax
(509) 624-9179
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA10003430 WA Primary

Addresses

Primary practice location

601 W 5TH Ave Ste 400
Spokane, WA 99204-2715

Mailing address

601 W 5TH Ave Ste 400
Spokane, WA 99204-2715
Phone (509) 344-2663

Other practice location 1

601 W 5th Ave Ste 500
Spokane, WA 99204-2756
Phone (509) 344-8672

Other identifiers 5

IdentifierTypeStateIssuer
805849600MedicaidID
202076OtherWADEPT OF LABOR & INDUSTRIE
2828FLOtherASURIS NW HEALTH
8424822MedicaidWA
G8860586OtherMEDICARE ID

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051006001023 WA Practitioner - Physician Assistant 2860417003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Orthopaedic Specialists PS 83 clinicians

Practice addresses (Care Compare)

12410 E Sinto Ave
Suite 101
Spokane Valley, WA 99216-2258
Phone (509) 789-2955

12410 E Sinto Ave
Suite 201
Spokane Valley, WA 99216-2280
Phone (509) 928-4334

212 E Central Ave
Suite 140
Spokane, WA 99208-6289
Phone (509) 465-1300

2710 E 57TH Ave
Spokane, WA 99223-6678
Phone (509) 252-2354

601 W 5TH Ave
Suite 400
Spokane, WA 99204-2715
Phone (509) 344-2663

9310 N Division St
Spokane, WA 99218-1227
Phone (509) 789-2836

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA10003430WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Orthopaedic Specialists, P.S. CurrentSince Jul 1, 2006 Accepting new patients
Northwest Orthopaedic Specialists PS CurrentSince Jul 1, 2006 Accepting new patients
Columbia Medical Associates LLC Past Accepting new patients

Locations

9310 N Division St
Spokane, WA 99218
Phone (509) 789-2836

601 W 5th Ave
Ste 500
Spokane, WA 99204
Phone (509) 344-2663

601 W 5th Ave
Ste 100
Spokane, WA 99204
Phone (509) 343-3907

601 W 5th Ave
Ste 400
Spokane, WA 99204
Phone (509) 344-2663

601 W 5th Ave
Spokane, WA 99204

2710 E 57th Ave
Spokane, WA 99223
Phone (509) 252-2354

5633 N Lidgerwood St
Spokane, WA 99208
Phone (509) 482-0111

12410 E Sinto Ave
Ste 101
Spokane Valley, WA 99216
Phone (509) 789-2955

Interoperability endpoints

  • Direct secure messaging: tod.fleming.1@16598.direct.athenahealth.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1497708796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W 5TH AVE STE 400",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042715",
            "telephone_number": "509-344-2663",
            "fax_number": "509-624-9179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W 5TH AVE STE 400",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042715",
            "telephone_number": "509-344-2663",
            "fax_number": "509-624-9179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 W 5th Ave Ste 500",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992042756",
            "country_code": "US",
            "telephone_number": "509-344-8672",
            "fax_number": "509-747-7838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "TOD",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA10003430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805849600",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR & INDUSTRIE",
            "identifier": "202076",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASURIS NW HEALTH",
            "identifier": "2828FL",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8424822",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "G8860586",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.