Active NPI
Foot and Ankle Clinic of Spokane Inc
Doing business as Surgery Center of Spokane
- Foot & Ankle Surgery Podiatrist
- Spokane Valley, WA
National Provider Identifier
1497839823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO00000715
- Legal business name
- FOOT AND ANKLE CLINIC OF SPOKANE INC
- Doing business as
- Surgery Center of Spokane
- Practice address
- 205 N University Rd Ste 4
Spokane Valley, WA 99206-5094 - Phone
- (509) 928-8181
- Fax
- (509) 926-1247
- NPI assigned
- Oct 24, 2006
- Last updated
- Apr 20, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jacqueline Mendoza Babol, DPM
- Title
- Owner- Doctor
- Phone
- (509) 928-8181
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO00000715 | WA | Primary |
Addresses
Primary practice location
205 N University Rd Ste 4
Spokane Valley, WA 99206-5094
Mailing address
9116 E Sprague Ave # 278
Spokane Valley, WA 99206-3601
Phone (509) 928-8181
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0166415 | Other | WA | L & I |
| 1116623 | Medicaid | WA | |
| 61101 | Other | WA | HUMANA |
| 480034678 | Other | WA | RAILROAD |
| 693OBO | Other | WA | ASURIS |
Other names 1
- Surgery Center of Spokane
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, ID
Enrollment records 2
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Durable Medical Equipment & Medical Supplies
- Spokane Valley, WA
- NPI 1124109590
7911801188
National Provider Directory
National Provider Directory- Tax ID family
- Mountain Health Services
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Foot & Ankle Surgery Podiatrist
- Spokane Valley, WA
- NPI 1285626622
-
- Durable Medical Equipment & Medical Supplies
- Spokane Valley, WA
- NPI 1124109590
-
dba Surgery Center of Spokane
- Ambulatory Surgical Clinic/Center
- Spokane Valley, WA
- NPI 1548252968
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1497839823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9116 E SPRAGUE AVE # 278",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992063601",
"telephone_number": "509-928-8181",
"fax_number": "509-926-1247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 N UNIVERSITY RD STE 4",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992065094",
"telephone_number": "509-928-8181",
"fax_number": "509-926-1247"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOOT AND ANKLE CLINIC OF SPOKANE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-24",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "BABOL",
"authorized_official_first_name": "JACQUELINE",
"authorized_official_middle_name": "MENDOZA",
"authorized_official_title_or_position": "OWNER- DOCTOR",
"authorized_official_telephone_number": "509-928-8181",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "WA",
"license": "PO00000715",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I",
"identifier": "0166415",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1116623",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "61101",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "480034678",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASURIS",
"identifier": "693OBO",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Surgery Center of Spokane",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Spokane Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.