Michael Jacks Mainer, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00015454 Issued in WA

Practice address

3754 W Indian Trail Rd
Spokane, WA 99208-4700

Phone

(509) 328-7041

Fax

(509) 328-7582

NPI assigned

May 18, 2006

Last updated

Nov 21, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542758400000",
    "number": "1760435028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3754 W INDIAN TRAIL RD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992084700",
            "telephone_number": "509-328-7041",
            "fax_number": "509-328-7582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3754 W INDIAN TRAIL RD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992084700",
            "telephone_number": "509-328-7041",
            "fax_number": "509-328-7582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAINER",
        "first_name": "MICHAEL",
        "middle_name": "JACKS",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2018-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD00015454",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00015454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS' COMP",
            "identifier": "0195465",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1105303",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00209862",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jediah A Main, MS, NCC, LMHC
• Kathryn Lynn Main, CCC-SLP
• Anthony David Maine Rouwhorst, LMT
• Jill Suzanne Maine, PSYD
• Orson A Maine
• Stacey F Mainer, ARNP
• Nancy Michelle Mair
• Katelyn Diane Maisch
• Robert P Maixner, M.D.
• Melisa Majnarich, LICSW LW 60185668

• 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 Nov 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.