NPIMap

Organization Active NPI

Spokane Valley Ear Nose & Throat PS

  • Ambulatory Surgical Clinic/Center
  • Spokane Valley, WA
National Provider Identifier
1750521720
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
ASF.FS.60129513 Issued in WA
Legal business name
SPOKANE VALLEY EAR NOSE & THROAT PS
Practice address
1424 N. McDonald Rd
Suite 102
Spokane Valley, WA 99216
Phone
(509) 928-7272
Fax
(509) 928-7346
NPI assigned
Mar 3, 2009
Last updated
May 3, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
SPOKANE VALLEY EAR NOSE & THROAT PSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Authorized official

Name
Dr. Geoffrey Garrison Julian, M.D.NPI 1346246535
Title
Sec/Tres
Phone
(509) 928-7272

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
Ambulatory Surgical Clinic/Center 261QA1903X ASF.FS.60129513 WA Primary

Addresses

Primary practice location

1424 N. McDonald Rd
Suite 102
Spokane Valley, WA 99216

Mailing address

1424 N McDonald Rd
Suite 102
Spokane Valley, WA 99216-6017
Phone (509) 928-7272

Other identifiers 2

IdentifierTypeStateIssuer
1010221MedicaidWA
0257384OtherWAL&I

Other names 1

  • Spokane Valley Ambulatory Surgery Center Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091113000554 WA Part B Supplier - Ambulatory Surgical Center 3971491259 Practice locations: Spokane Valley, WA

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Spokane Valley Ambulatory Surgery CenterCCN 50C0001289
Medicare certification status
ActiveFrom the Provider of Services file

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
50D1107245Spokane Valley Ambulatory Surgery Center1424 N McDonald Rd Ste 102, Spokane Valley, WA 99216Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory
Tax ID family
Spokane Valley ENT PS2 organizations share this tax ID, including this one
Part of
Spokane Valley ENT PS

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1424 N McDonald Rd
Ste 102
Spokane Valley, WA 99216
Phone (509) 340-8340

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651536000000",
    "number": "1750521720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 N MCDONALD RD",
            "address_2": "SUITE 102",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992166017",
            "telephone_number": "509-928-7272",
            "fax_number": "509-928-7346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 N. MCDONALD RD",
            "address_2": "SUITE 102",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "99216",
            "telephone_number": "509-928-7272",
            "fax_number": "509-928-7346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPOKANE VALLEY EAR NOSE & THROAT PS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPOKANE VALLEY EAR NOSE & THROAT PS",
        "enumeration_date": "2009-03-03",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A",
        "authorized_official_last_name": "JULIAN",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "GARRISON",
        "authorized_official_title_or_position": "SEC/TRES",
        "authorized_official_telephone_number": "509-928-7272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WA",
            "license": "ASF.FS.60129513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010221",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0257384",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spokane Valley Ambulatory Surgery Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Spokane Valley Ambulatory Surgery Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.