Glenn Kellogg, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

27454 Issued in WA

Practice address

104 West 5TH
Ste 250E
Spokane, WA 99204

Phone

(509) 838-1547

Fax

(509) 835-4058

NPI assigned

Aug 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Anesthesia Associates, PS

  • Anesthesiology Physician
  • Spokane, WA
  • NPI 1831143254
  NPD
• Spokane Outpatient Anesthesia PLLC

  • Anesthesiology Physician
  • Spokane, WA
  • NPI 1114645546
  NPD
• Empire Health Services

  • General Acute Care Hospital
  • Spokane, WA
  • NPI 1336194893
  NPD (past)

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197849600000",
    "number": "1689685547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 WEST 5TH",
            "address_2": "STE 250E",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99204",
            "telephone_number": "509-838-8610",
            "fax_number": "509-835-4058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 WEST 5TH",
            "address_2": "STE 250E",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99204",
            "telephone_number": "509-838-1547",
            "fax_number": "509-835-4058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLOGG",
        "first_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "27454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1057546",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keith Thomas Kelley, BA
• Lisa Kelley, SLP
• Mary Clare Kelley, R.D.N.
• Rhonda Elaine Kelley, DPT
• Emily Jewel Kellogg
• Kortney Kellogg, PHARMD
• Pamela Kellogg
• Richard E Kellogg, OD
• Susan Kellogg, RPH
• Betty Jane Kellum

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.