Micro Neurosurgery & Spine of Spokane LLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

MD00031046 Issued in WA

Legal business name

MICRO NEUROSURGERY & SPINE OF SPOKANE LLC

Practice address

5901 N Lidgerwood St
Suite 121
Spokane, WA 99208-5095

Phone

(509) 489-6757

Fax

(509) 489-0665

NPI assigned

Feb 15, 2007

Organization subpart

No

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

Authorized official

Name

Cynthia A Hahn, MD

Title

Member

Phone

(509) 489-6757

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Olivia G Burks, ARNP

  • Family Nurse Practitioner
  • Spokane, WA
  • NPI 1821254772
  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760525232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 758",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838770758",
            "telephone_number": "208-773-6400",
            "fax_number": "208-773-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 N LIDGERWOOD ST",
            "address_2": "SUITE 121",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992085095",
            "telephone_number": "509-489-6757",
            "fax_number": "509-489-0665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICRO NEUROSURGERY & SPINE OF SPOKANE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAHN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "509-489-6757",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "WA",
            "license": "MD00031046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Mickelsen, PA-C
• Ashlee Diane Mickelson, M.D.
• Joseph Dale Mickelson, M.D.
• Alysa Rey Mickey, LICSW
• David Mickey, PTA
• Regina Lynn Middaugh, MOT, OTR/L
• Zachary Ebner Middaugh, PHARMD
• Isiah Middleton
• Mide Integrative Therapies
• Danika Miedema

• Neurological Surgery Physician in Spokane, WA
• Providers in Spokane, WA by specialty
• Neurological Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.