Individual provider Active NPI

Sean Paul Lasalle, MD

  • Rheumatology Physician
  • Spokane, WA
National Provider Identifier
1790715126
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
MD00047836 Issued in WA
Practice address
105 W 8TH Ave
Ste 6080
Spokane, WA 99204-2302
Phone
(509) 838-6500
Fax
(509) 838-6561
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X MD00047836 WA Primary

Addresses

Primary practice location

105 W 8TH Ave
Ste 6080
Spokane, WA 99204-2302

Mailing address

105 W 8TH Ave
Ste 6080
Spokane, WA 99204-2302
Phone (509) 838-6500

Other identifiers 1

IdentifierTypeStateIssuer
8394421MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070320000378 WA Practitioner - Rheumatology 3375529498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Tulane University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arthritis Northwest PLLCGroup PAC ID 6901796762, 7 clinicians

Practice addresses (Care Compare)

105 W 8TH Ave
Spokane, WA 99204-2313
Phone (509) 838-6500

12509 E Mission Ave
Suite 102
Spokane Valley, WA 99216-1061

Hospital & facility affiliations

  • Newport Community Hospital Hospital, Newport, WA, CCN 501310
  • Providence Mount Carmel Hospital Hospital, Colville, WA, CCN 501326
  • St Mary'S Hospital Hospital, Cottonwood, ID, CCN 131321
  • Deaconess Medical Center Hospital, Spokane, WA, CCN 500044
  • Providence St Joseph Hospital Hospital, Chewelah, WA, CCN 501309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Arthritis Northwest PLLC CurrentSince Jul 19, 2007 Accepting new patients

Locations

105 W 8th Ave
Ste 6080
Spokane, WA 99204
Phone (509) 484-5355

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: sean.lasalle.p1@direct.anw.nextgenshare.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203465600000",
    "number": "1790715126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W 8TH AVE",
            "address_2": "STE 6080",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042302",
            "telephone_number": "509-838-6500",
            "fax_number": "509-838-6561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W 8TH AVE",
            "address_2": "STE 6080",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042302",
            "telephone_number": "509-838-6500",
            "fax_number": "509-838-6561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASALLE",
        "first_name": "SEAN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2008-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "WA",
            "license": "MD00047836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8394421",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.