Northwest Renal Services Inc

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

601983029 Issued in WA

Legal business name

NORTHWEST RENAL SERVICES INC

Practice address

801 W 5TH Ave
Suite #323
Spokane, WA 99204-2823

Phone

(509) 744-1500

Fax

(509) 626-5460

NPI assigned

Apr 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Leo Eugene Obermiller Jr., MD

Title

President

Phone

(509) 744-1500

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 5

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.

• Gary Don Cline, PAC

  • Medical Physician Assistant
  • Renton, WA
  • NPI 1659462448

  Nephrology

  NPD (past)
• Onder Orgul, MD

  • Nephrology Physician
  • Walla Walla, WA
  • NPI 1932123601

  Internal Medicine

  NPD (past)
• Vicki Marie Stevens, ARNP

  • Nurse Practitioner
  • Spokane Valley, WA
  • NPI 1578654463
  NPD (past)
• Malcolm L. Buford Jr., MD

  • Nephrology Physician
  • Tulsa, OK
  • NPI 1164424990
  NPD (past)
• Virginia V. Harrington, MD

  • Emergency Medicine Physician
  • Wisconsin Rapids, WI
  • NPI 1487635850

  Internal Medicine

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263859200000",
    "number": "1629291273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W 5TH AVE",
            "address_2": "SUITE #323",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042823",
            "telephone_number": "509-744-1500",
            "fax_number": "509-626-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W 5TH AVE",
            "address_2": "SUITE #323",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042823",
            "telephone_number": "509-744-1500",
            "fax_number": "509-626-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST RENAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2010-01-19",
        "status": "A",
        "authorized_official_last_name": "OBERMILLER",
        "authorized_official_first_name": "LEO",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-744-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "601983029",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "WA",
            "license": "601983029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD OF ID",
            "identifier": "010100010060",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7098122",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northwest Perspectives Counseling PLLC
• Northwest Physical Therapy and Spine Rehabilitation Inc
• Northwest Physical Therapy Center
• Northwest Pulmonary
• Northwest Reflections PLLC
• Northwest Renal SVC Inc
• Northwest Sexual Counseling
• Northwest Speech Services PLLC
• Northwest Spine and Pain Medicine, PLLC (Northwest Spine and Pain Medicine)
• Northwest Spokane Pediatrics, PLLC (Northwest Spokane Pediatrics)

• Nephrology Physician in Spokane, WA
• Providers in Spokane, WA by specialty
• Nephrology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; 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.