Active NPI
Royce F Van Gerpen, MD MPH
- Occupational Medicine Physician
- Spokane, WA
National Provider Identifier
1639107022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- M6920
- Practice address
- 323 E Second Ave
Suite 102
Spokane, WA 99202 - Phone
- (509) 455-5555
- Fax
- (509) 455-4114
- NPI assigned
- Jun 28, 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 |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | M6920 | ID | Primary |
Addresses
Primary practice location
323 E Second Ave
Suite 102
Spokane, WA 99202
Mailing address
323 E 2ND Ave
Suite 102
Spokane, WA 99202-1455
Phone (509) 455-5555
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1319706 | Medicaid | WA | |
| 13782 | Other | WA | STATE OF WA |
| 45259 | Other | WA | STATE LABOR & INDUSTRIES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M6920 | ID | MD | Occupational Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Auburn, WA
- NPI 1013969195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283990400000",
"number": "1639107022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "323 E 2ND AVE",
"address_2": "SUITE 102",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992021455",
"telephone_number": "509-455-5555",
"fax_number": "509-455-4114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 E SECOND AVE",
"address_2": "SUITE 102",
"city": "SPOKANE",
"state": "WA",
"postal_code": "99202",
"telephone_number": "509-455-5555",
"fax_number": "509-455-4114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN GERPEN",
"first_name": "ROYCE",
"middle_name": "F",
"credential": "MD MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2010-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "ID",
"license": "M6920",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1319706",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF WA",
"identifier": "13782",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LABOR & INDUSTRIES",
"identifier": "45259",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
- Jason Michael Van Gelder, PMHNP-BC
- Michael Jacobus Van Gelder, M.S., M.N., PMHNP
- John Andrew Van Gemert, DDS PS
- Lauren Nicole Van Gemert, D.D.S.
- Mark Joseph Van Gemert, DDS
- Jennifer Lynn Van Harpen, BSN
- Carla Lauren Van Heerden
- Megan Elizabeth Van Hilten
- Kristy R. Van Hook, ARNP
- Alexandra C Van Housen, MA 61096188
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.