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

Last updated

Apr 29, 2019By the provider in NPPES

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, MDNPI 1578542486

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 7

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.

• 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
• Jeffery Allen Trail, MD

  • Family Medicine Physician
  • Spokane, WA
  • NPI 1578542486
  Authorized official Same address or phone
• 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 (Brookdale Place at NorthPointe)
• 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.