Clinton S Poppel, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

MD00037066 Issued in WA

Practice address

12401 E Sinto Ave
Spokane Valley, WA 99216-1081

Phone

(509) 922-2055

Fax

(509) 922-2307

NPI assigned

Dec 12, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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": "1134345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280361600000",
    "number": "1770568875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 W HORIZON AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992088812",
            "telephone_number": "509-448-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12401 E SINTO AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161081",
            "telephone_number": "509-922-2055",
            "fax_number": "509-922-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPPEL",
        "first_name": "CLINTON",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-12",
        "last_updated": "2010-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WA",
            "license": "MD00037066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7104243",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7099575",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Joy Poole, L.M.P.
• Nicholas Poovey, DDS
• Elisa A Pope, LMHC
• Jennifer Pope, L.M.T.
• Reid Matthew Popp, LMP
• Kristine Porritt
• Jason Edward Portell, FNP-C
• Brenn Willis Porter, CDP
• Hallie Porter
• Tiffany Porter

• Gastroenterology Physician in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Gastroenterology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; 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.