Active NPI
Pend Oreille River Emergency Physicians PLLC
- Emergency Medicine Physician
- Newport, WA
National Provider Identifier
1801268230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- PEND OREILLE RIVER EMERGENCY PHYSICIANS PLLC
- Practice address
- 714 W Pine St
Newport, WA 99156-9046 - Phone
- (469) 401-2386
- NPI assigned
- Oct 26, 2015
- Last updated
- Oct 26, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charles T Mitchell, MD
- Title
- President
- Phone
- (469) 401-2386
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | NU | Primary |
Addresses
Primary practice location
714 W Pine St
Newport, WA 99156-9046
Mailing address
13737 Noel Rd
#1600
Dallas, TX 75240-1331
Phone (469) 401-2386
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Walla Walla, WA
- NPI 1609965144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1445817600000",
"number": "1801268230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13737 NOEL RD",
"address_2": "#1600",
"city": "DALLAS",
"state": "TX",
"postal_code": "752401331",
"telephone_number": "469-401-2386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "714 W PINE ST",
"city": "NEWPORT",
"state": "WA",
"postal_code": "991569046",
"telephone_number": "469-401-2386"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEND OREILLE RIVER EMERGENCY PHYSICIANS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-26",
"last_updated": "2015-10-26",
"status": "A",
"authorized_official_last_name": "MITCHELL",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "469-401-2386",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport, WA
- Pend Oreille County Public Hospital District No 1 (Newport Community Hospital Long Term Care)
- Pend Oreille County Public Hospital District No. 1 (Newport Health Center)
- Pend Oreille County Public Hospital District No. 1 (River Mountain Village Assisted Living)
- Pend Oreille Fire 3 (South Pend Oreille Fire & Rescue)
- Pend Oreille Paramedics
- Elizabeth Peters
- Aaron Petersen, MD
- Lynn A Peterson, MSN, CRNA
- Molly O Phillips, LICMSW
- Steven Price, PHYSICAL THERAPIST A
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.