Organization Active NPI

DRS. Goldman & Summers, PLLC

  • Family Medicine Physician
  • Spokane, WA
National Provider Identifier
1497763585
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00020871 Issued in WA
Legal business name
DRS. GOLDMAN & SUMMERS, PLLC
Practice address
9631 N Nevada St Ste 210
Spokane, WA 99218-1197
Phone
(509) 467-8355
Fax
(509) 467-7151
NPI assigned
Aug 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Authorized official

Name
Mrs. Teresa B Chiesa
Title
Office Manager
Phone
(509) 467-8355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X MD00020871 WA Primary

Addresses

Primary practice location

9631 N Nevada St Ste 210
Spokane, WA 99218-1197

Mailing address

9631 N Nevada St Ste 210
Spokane, WA 99218-1197
Phone (509) 467-8355

Other identifiers 9

IdentifierTypeStateIssuer
000010147266OtherWAREGENCE BLUESHIELD OF IDA
KW773OtherWABLUE CROSS OF IDAHO
P00124645OtherWARAILROAD MEDICARE
000010147265OtherWAREGENCE BLUESHIELD OF IDA
P00165602OtherWARAILROAD MEDICARE
P00240230OtherWARAILROAD MEDICARE
POO124661OtherWARAILROAD MEDICARE
7123839MedicaidWA
163050OtherWALABOR & INDUSTRIES

National Provider Directory

National Provider Directory

Locations

9631 N Nevada St
Ste 210
Spokane, WA 99218
Phone (509) 319-2430

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1497763585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9631 N NEVADA ST STE 210",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181197",
            "telephone_number": "509-467-8355",
            "fax_number": "509-467-7151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9631 N NEVADA ST STE 210",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181197",
            "telephone_number": "509-467-8355",
            "fax_number": "509-467-7151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. GOLDMAN & SUMMERS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "CHIESA",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "509-467-8355",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00020871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUESHIELD OF IDA",
            "identifier": "000010147266",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "KW773",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00124645",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUESHIELD OF IDA",
            "identifier": "000010147265",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00165602",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00240230",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "POO124661",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7123839",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "163050",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Sep 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.