Organization Active NPI

Inland Anesthesia Service

  • Certified Registered Nurse Anesthetist
  • Spokane, WA
National Provider Identifier
1710319785
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RNA-777A Issued in ID
Legal business name
INLAND ANESTHESIA SERVICE
Practice address
507 S Washington St Ste 170
Spokane, WA 99204-2629
Phone
(509) 362-9653
Fax
(509) 362-9705
NPI assigned
Aug 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Authorized official

Name
John Fontana, CRNANPI 1962642751
Title
Owner/President
Phone
(509) 362-9653

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X RNA-777A ID Primary

Addresses

Primary practice location

507 S Washington St Ste 170
Spokane, WA 99204-2629

Mailing address

PO Box 8654
Spokane, WA 99203-0654
Phone (509) 362-9653

Other names 1

  • Inland Pain Specialists Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220407001266 WA Part B Supplier - Clinic/Group Practice 2264667856 Receives reassigned benefits from 2 practitioners
Practice locations: Spokane, WA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1710319785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8654",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992030654",
            "telephone_number": "509-362-9653",
            "fax_number": "509-362-9705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 S WASHINGTON ST STE 170",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042629",
            "telephone_number": "509-362-9653",
            "fax_number": "509-362-9705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND ANESTHESIA SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-01",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "FONTANA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "509-362-9653",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ID",
            "license": "RNA-777A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inland Pain Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 9, 2024; 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.