Active NPI
Valley Gastroenterology PS
- Endoscopy Clinic/Center
- Spokane Valley, WA
National Provider Identifier
1588743009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endoscopy Clinic/Center
- Legal business name
- VALLEY GASTROENTEROLOGY PS
- Practice address
- 12401 E Sinto Ave
Spokane Valley, WA 99216-1081 - Phone
- (509) 922-2055
- Fax
- (509) 922-2307
- NPI assigned
- Nov 3, 2006
- 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. Paul Martin Craig, M.D.
- Title
- Owner/President
- Phone
- (509) 922-2055
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endoscopy Clinic/Center | 261QE0800X | Primary |
Addresses
Primary practice location
12401 E Sinto Ave
Spokane Valley, WA 99216-1081
Mailing address
12401 E Sinto Ave
Spokane Valley, WA 99216-1081
Phone (509) 922-2055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7099575 | Medicaid | WA |
Other names 1
- Valley Endoscopy Center
National Provider Directory
National Provider DirectoryLocations
12401 E Sinto Ave
Spokane Valley, WA 99216
Phone (509) 232-7943
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1383523200000",
"number": "1588743009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12401 E SINTO AVE",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992161081",
"telephone_number": "509-922-2055",
"fax_number": "509-922-2307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12401 E SINTO AVE",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992161081",
"telephone_number": "509-922-2055",
"fax_number": "509-922-2307"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY GASTROENTEROLOGY PS",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-03",
"last_updated": "2013-11-04",
"status": "A",
"authorized_official_last_name": "CRAIG",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "MARTIN",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "509-922-2055",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QE0800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Endoscopy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7099575",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Valley Endoscopy Center",
"code": "5",
"type": "Other Name"
}
]
}
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 Nov 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.