Eteri S Byazrova, MD

Primary specialty

Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X

License

MD45949 Issued in WA

Practice address

122 W 7TH Ave
Suite 310
Spokane, WA 99204-2349

Phone

(509) 838-7711

Fax

(509) 747-4664

NPI assigned

May 18, 2006

Sex

Female

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Northwest Cardiac and Vascular Imaging, LLC

  • Medical Specialty Clinic/Center
  • Spokane, WA
  • NPI 1730121047
  NPD (past)
• Spokane Valley Family Medicine P.S.

  • Family Medicine Physician
  • Spokane Valley, WA
  • NPI 1902859598
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451520000000",
    "number": "1790738060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 W 7TH AVE",
            "address_2": "SUITE 310",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042349",
            "telephone_number": "509-838-7711",
            "fax_number": "509-747-4664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 W 7TH AVE",
            "address_2": "SUITE 310",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042349",
            "telephone_number": "509-838-7711",
            "fax_number": "509-747-4664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYAZROVA",
        "first_name": "ETERI",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2015-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "WA",
            "license": "MD45949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807399200",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke Marie Button, LMP
• Mikayla Elaine Button, DO
• Spencer Michael Button
• Jodianne Buxton
• Yelena Buzinover
• Stella Bychkov, OTR/L
• Sheena Byerly
• Kathryn A Byers, PT
• Stephen Byers, D.C.
• Benie M Byiringiro

• Clinical Cardiac Electrophysiology Physician in Spokane, WA
• Providers in Spokane, WA by specialty
• Clinical Cardiac Electrophysiology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; 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.