NPIMap

Organization Active NPI

Spokane Digestive Disease Center, P.S.

  • Gastroenterology Physician
  • Spokane, WA
National Provider Identifier
1699808873
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
SPOKANE DIGESTIVE DISEASE CENTER, P.S.
Practice address
105 W 8TH Ave
Suite 6010
Spokane, WA 99204-2302
Phone
(509) 838-5950
Fax
(509) 838-5961
NPI assigned
Mar 14, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Doreene A Mott
Title
Office Manager
Phone
(509) 838-5950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X WA Primary

Addresses

Primary practice location

105 W 8TH Ave
Suite 6010
Spokane, WA 99204-2302

Mailing address

105 W 8TH Ave
Suite 6010
Spokane, WA 99204-2302
Phone (509) 838-5950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040211000710 WA Part B Supplier - Clinic/Group Practice 3476447350 Receives reassigned benefits from 63 practitioners
Practice locations: Spokane, WA; Spokane Valley, WA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

21313 68th Ave W
Lynnwood, WA 98036
Phone (425) 697-3400

6825 216th St SW
Ste G
Lynnwood, WA 98036
Phone (425) 712-8020

105 W 8th Ave
Ste 550
Spokane, WA 99204
Phone (509) 474-5059

Practitioners & affiliated clinicians

Practitioners 66

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.

View all 66

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699808873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W 8TH AVE",
            "address_2": "SUITE 6010",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042302",
            "telephone_number": "509-838-5950",
            "fax_number": "509-838-5961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W 8TH AVE",
            "address_2": "SUITE 6010",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042302",
            "telephone_number": "509-838-5950",
            "fax_number": "509-838-5961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPOKANE DIGESTIVE DISEASE CENTER, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOTT",
        "authorized_official_first_name": "DOREENE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "509-838-5950",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.