Northside Family Physicians

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NORTHSIDE FAMILY PHYSICIANS

Practice address

42 E Rowan Ave Ste a
Spokane, WA 99207-1212

Phone

(509) 483-3155

Fax

(509) 487-1636

NPI assigned

Jan 17, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Jeffery A Trail, MD

Title

MD

Phone

(509) 483-3155

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 6

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

• Michael S Patterson, PAC

  • Physician Assistant
  • Chewelah, WA
  • NPI 1639298268
  Medicare reassignment Care Compare group NPD
• Kristine Wessels

  • Medical Physician Assistant
  • Spokane, WA
  • NPI 1518354141
  Medicare reassignment Care Compare group NPD
• Lori Tschetter, PA-C

  • Physician Assistant
  • Spokane, WA
  • NPI 1689782740
  Medicare reassignment Care Compare group
• Chelsie Marie Isom, PA

  • Student in an Organized Health Care Education/Training Program
  • Seattle, WA
  • NPI 1952271223
  Medicare reassignment NPD
• Scott T Weldon, PA

  • Physician Assistant
  • Spokane, WA
  • NPI 1831287564
  Medicare reassignment
• Philip Roger Henry, DO

  • Family Medicine Physician
  • Spokane, WA
  • NPI 1023097946
  NPD (past)

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556496000000",
    "number": "1750855276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 E ROWAN AVE STE A",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992071212",
            "telephone_number": "509-483-3155",
            "fax_number": "509-487-1636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 E ROWAN AVE STE A",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992071212",
            "telephone_number": "509-483-3155",
            "fax_number": "509-487-1636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSIDE FAMILY PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-17",
        "last_updated": "2019-04-29",
        "status": "A",
        "authorized_official_last_name": "TRAIL",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "509-483-3155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northpointe Imaging Center, LLC
• Northpointe Tenant, LLC
• Northridge Compassion Care, LLC
• Karl K Northrup Jr., DDS
• Northside Family Medicine, P.S.
• Northside Internal Medicine Associates PS
• Northside Physical Therapy PS
• Northside Physical Therapy, PS
• Northside Vision Center, P.S.
• Northview Family Dental, PLLC

• Family Medicine Physician in Spokane, WA
• Providers in Spokane, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; 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.