NPIMap

Individual provider Active NPI

Micheal J Fallon, MD

  • Anesthesiology Physician
  • Spokane, WA
National Provider Identifier
1801808316
Registry record updated Jun 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD00042809 Issued in WA
Practice address
911 W 5TH Ave
Spokane, WA 99204-2901
Phone
(509) 623-0428
Fax
(509) 623-0415
NPI assigned
Aug 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD00042809 WA Primary

Addresses

Primary practice location

911 W 5TH Ave
Spokane, WA 99204-2901

Mailing address

Shriners Hospitals for Children Spokane
Dept 5046
Los Angeles, CA 90084-5046
Phone (813) 281-8478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Anchorage Anesthesia Medical Group, P.C. Anesthesiology Past Accepting new patients
Alaska Spine Center, LLC Past Accepting new patients
Providence Wa Anesthesia Services, P.C. Anesthesiology Past Accepting new patients
Anesthesia Associates, PS Anesthesiology Past Accepting new patients
Chugach Anesthesia, LLC Anesthesiology PastSince Dec 17, 2012 Accepting new patients
Bellingham Anesthesia Associates, P.S. Anesthesiology PastSince Aug 1, 2008 Accepting new patients
University Hospitals Medical Group Inc Anesthesiology Past Accepting new patients

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276819200000",
    "number": "1801808316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SHRINERS HOSPITALS FOR CHILDREN SPOKANE",
            "address_2": "DEPT 5046",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900845046",
            "telephone_number": "813-281-8478",
            "fax_number": "813-281-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 W 5TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042901",
            "telephone_number": "509-623-0428",
            "fax_number": "509-623-0415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALLON",
        "first_name": "MICHEAL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2010-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "MD00042809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.