Active NPI
Paul H Lin, MD
- Surgery Physician
- Spokane, WA
National Provider Identifier
1528030665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD00028622
- Practice address
- 217 W Cataldo Ave FL 3
Spokane, WA 99201-2217 - Phone
- (509) 747-6194
- Fax
- (509) 838-0824
- NPI assigned
- Feb 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD00028622 | WA | Primary |
Addresses
Primary practice location
217 W Cataldo Ave FL 3
Spokane, WA 99201-2217
Mailing address
PO Box 421
Liberty Lake, WA 99019-0421
Phone (866) 747-2455
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1012466 | Medicaid | WA | |
| PO1173848 | Other | WA | RAILROAD MEDICARE |
| 305789 | Other | WA | LABOR & INDUSTRIES |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025209 | WA | MD | Ophthalmology Physician |
| MD00028622 | WA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia Surgical Specialists, PS | Surgery | Current | Accepting new patients |
| Columbia Surgical Specialists, PS | Current | Accepting new patients | |
| Surgical Specialists of Spokane | Surgery | Past | Accepting new patients |
Locations
217 W Cataldo Ave
Spokane, WA 99201
Phone (509) 624-2326
217 W Cataldo Ave
Ste 7010
Spokane, WA 99201
105 W 8th Ave
Ste 7010
Spokane, WA 99204
Phone (509) 353-3901
217 W Cataldo Ave
Fl 3
Spokane, WA 99201
Phone (509) 624-2326
Organizations & group practices 3
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.
-
- Surgery Physician
- Spokane, WA
- NPI 1417067372
-
- Ambulatory Surgical Clinic/Center
- Spokane, WA
- NPI 1477617751
-
- Surgery Physician
- Spokane, WA
- NPI 1013989532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669680000000",
"number": "1528030665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 421",
"city": "LIBERTY LAKE",
"state": "WA",
"postal_code": "990190421",
"telephone_number": "866-747-2455",
"fax_number": "509-227-7070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 W CATALDO AVE FL 3",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992012217",
"telephone_number": "509-747-6194",
"fax_number": "509-838-0824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIN",
"first_name": "PAUL",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-03",
"last_updated": "2022-11-29",
"certification_date": "2022-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WA",
"license": "MD00028622",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1012466",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "PO1173848",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "305789",
"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 Nov 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.