Organization Active NPI

Valley Gastroenterology PS

  • Endoscopy Clinic/Center
  • Spokane Valley, WA
National Provider Identifier
1588743009
Registry record updated Nov 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endoscopy Clinic/CenterTaxonomy code 261QE0800X
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

Updated by the provider on Nov 4, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7099575MedicaidWA

Other names 1

  • Valley Endoscopy Center Other name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.