Wa-Spok Medical Care LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

WA-SPOK MEDICAL CARE LLC

Practice address

801 W Fifth Ave
Suite 422
Spokane, WA 99204-2841

Phone

(509) 473-7250

Fax

(509) 473-3033

NPI assigned

Sep 23, 2008

Organization subpart

No

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

Authorized official

Name

Debbie Brewer

Title

Director

Phone

(877) 892-9813

Specialties & licenses 6

Addresses

Other identifiers 2

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paula Marie Bowes, PA C

  • Physician Assistant
  • Tonasket, WA
  • NPI 1578551107
  NPD (past)
• Anthony J Santiago, MD

  • Neurology Physician
  • Minneapolis, MN
  • NPI 1912990060
  NPD (past)
• Kathleen White, APRN

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1144312349
  NPD (past)

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1649420019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W FIFTH AVE",
            "address_2": "SUITE 422",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042841",
            "telephone_number": "509-473-7250",
            "fax_number": "509-473-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W FIFTH AVE",
            "address_2": "SUITE 422",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042841",
            "telephone_number": "509-473-7250",
            "fax_number": "509-473-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WA-SPOK MEDICAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-23",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "877-892-9813"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084H0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT L&I",
            "identifier": "0242178",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7144553",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Belinda Wenjie Vuong, M.D.
• Christine Vuong, D.O.
• Wa Spok DH Crna LLC
• Wa-Spok DH Urgent Care LLC
• Wa-Spok Kidney Care LLC
• Wa-Spok Primary Care LLC
• Wa-Spok Pulmonary & Critical Care LLC
• Harland C Wable, MS, SUDPC, LMHA
• Johnna Rae Wacholtz
• Emily Nicole Waclawczyk, LSWAIC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.