Organization Active NPI

Selkirk Neurology PLLC

  • Neurology Physician
  • Spokane, WA
National Provider Identifier
1730683053
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
SELKIRK NEUROLOGY PLLC
Practice address
610 S Sherman St Ste 201
Spokane, WA 99202-1342
Phone
(509) 473-0885
Fax
(509) 795-0895
NPI assigned
Mar 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Authorized official

Name
Jason Lamar Aldred, MDNPI 1003969684
Title
Owner
Phone
(509) 473-0885

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
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

610 S Sherman St Ste 201
Spokane, WA 99202-1342

Mailing address

610 S Sherman St Ste 201
Spokane, WA 99202-1342
Phone (509) 458-7720

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180508000218 WA Part B Supplier - Clinic/Group Practice 0042574634 Receives reassigned benefits from 6 practitioners
Practice locations: Spokane, WA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2149974Selkirk Neurology PLLC610 S Sherman St Ste 201, Spokane, WA 99202Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

601 S Sherman St
Ste 201
Spokane, WA 99202

610 S Sherman St
Ste 201
Spokane, WA 99202
Phone (509) 458-7720

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19112/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 7

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": "1521590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1730683053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 S SHERMAN ST STE 201",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021342",
            "telephone_number": "509-458-7720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 S SHERMAN ST STE 201",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021342",
            "telephone_number": "509-473-0885",
            "fax_number": "509-795-0895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELKIRK NEUROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-21",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "ALDRED",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "LAMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-473-0885",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "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 Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.