Individual provider Active NPI

Lon C. Madsen, DO

  • Family Medicine Physician
  • Spokane, WA
National Provider Identifier
1558433052
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OP00001511 Issued in WA
Practice address
9708 N Nevada St Ste 203
Spokane, WA 99218-6004
Phone
(509) 863-9240
Fax
(509) 574-5863
NPI assigned
Nov 14, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 008315 AZ
Family Medicine Physician 207Q00000X OP00001511 WA Primary

Addresses

Primary practice location

9708 N Nevada St Ste 203
Spokane, WA 99218-6004

Mailing address

9708 N Nevada St Ste 203
Spokane, WA 99218-6004
Phone (509) 863-9240

Other practice location 1

1050 Gail Gardner Way Ste 300
Prescott, AZ 86305-1640
Phone (928) 717-5232

Other identifiers 2

IdentifierTypeStateIssuer
008538MedicaidAZ
008315OtherAZARIZONA MEDICAL BOARD

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040521001170 WA Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 6709877244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
College of Osteo Med of the Pacific at Pomona, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9708 N Nevada St
Suite 203
Spokane, WA 99218-6004
Phone (509) 290-6557

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Madsen Family Medicine PLLC Family Medicine CurrentSince Jun 22, 2010 Accepting new patients
Columbia Medical Associates LLC Family Medicine Past Accepting new patients
Doctors Clinic of Spokane Family Medicine Past Accepting new patients

Locations

9631 N Nevada St
Ste 205
Spokane, WA 99218
Phone (509) 466-1271

9708 N Nevada St
Ste 203
Spokane, WA 99218
Phone (509) 290-6557

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2462/brand/1/csg/1/fhir/r4

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, 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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1558433052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9708 N NEVADA ST STE 203",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992186004",
            "telephone_number": "509-863-9240",
            "fax_number": "509-574-5863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9708 N NEVADA ST STE 203",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992186004",
            "telephone_number": "509-863-9240",
            "fax_number": "509-574-5863"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 Gail Gardner Way Ste 300",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863051640",
            "country_code": "US",
            "telephone_number": "928-717-5232",
            "fax_number": "928-717-5238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADSEN",
        "first_name": "LON",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2023-03-07",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "008315",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP00001511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008538",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA MEDICAL BOARD",
            "identifier": "008315",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.