Individual provider Active NPI

Donald Alexander Halcrow, D.C., PA-C

  • Physician Assistant
  • Spokane, WA
National Provider Identifier
1679626808
Registry record updated Apr 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA60930143 Issued in WA
Practice address
2607 S Southeast Blvd BLDG a
Spokane, WA 99223
Phone
(509) 464-6208
Fax
(888) 316-1928
NPI assigned
Jan 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA60930143 WA Primary

Addresses

Primary practice location

2607 S Southeast Blvd BLDG a
Spokane, WA 99223

Mailing address

PO Box 112
Spokane, WA 99210-0112
Phone (509) 464-6208

Other practice location 1

3620 NW Samaritan Dr Ste 201
Corvallis, OR 97330
Phone (541) 768-6300

Other practice location 2

4311 11th Ave NE
200
Seattle, WA 98105-6366
Phone (206) 616-4001

Other practice location 3

3620 NW Samaritan Dr Ste 201
Corvallis, OR 97330
Phone (541) 768-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190513000889 WA Practitioner - Physician Assistant 8325207822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Spine and Pain Medicine PLLCGroup PAC ID 5799972212, 15 clinicians

Practice addresses (Care Compare)

5901 N Lidgerwood St
Suite 218
Spokane, WA 99208-1122
Phone (509) 464-6208

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA60930143WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Selkirk Interventional Pain Physicians PLLC Past Accepting new patients
Rare Wellness PastSince Oct 23, 2022 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555545600000",
    "number": "1679626808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 112",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992100112",
            "telephone_number": "509-464-6208",
            "fax_number": "888-316-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 S SOUTHEAST BLVD BLDG A",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99223",
            "telephone_number": "509-464-6208",
            "fax_number": "888-316-1928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3620 NW Samaritan Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "97330",
            "country_code": "US",
            "telephone_number": "541-768-6300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4311 11th Ave NE",
            "address_2": "200",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981056366",
            "country_code": "US",
            "telephone_number": "206-616-4001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3620 NW Samaritan Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "97330",
            "country_code": "US",
            "telephone_number": "541-768-6300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALCROW",
        "first_name": "DONALD",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "D.C., PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2019-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60930143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.