Inland Empire Dermatology, PS

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

OP00001816 Issued in WA

Legal business name

INLAND EMPIRE DERMATOLOGY, PS

Practice address

312 N Mullan Rd
Spokane Valley, WA 99206-6845

Phone

(509) 921-7884

Fax

(509) 921-8038

NPI assigned

Aug 24, 2006

Last updated

May 2, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paul L Ross, D.O.

Title

Physician

Phone

(509) 921-7884

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 6

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.

• Gilbert R. Escandon, MD

  • General Practice Physician
  • Spokane, WA
  • NPI 1194760769
  NPD (past)
• Peter J. Hill, MD

  • General Practice Physician
  • Spokane Valley, WA
  • NPI 1972531671
  NPD (past)
• Criswell Allen Kennedy, M.D.

  • General Practice Physician
  • Liberty Lake, WA
  • NPI 1912122847
  NPD (past)
• Jordan R. Leach, M.D.

  • Internal Medicine Physician
  • Spokane, WA
  • NPI 1962517078
  NPD (past)
• Steven O. Thomas, MD

  • General Practice Physician
  • Spokane Valley, WA
  • NPI 1588691943
  NPD (past)
• Richard C. Freeman, MD

  • Family Medicine Physician
  • Hayden, ID
  • NPI 1154359859
  NPD (past)

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398988800000",
    "number": "1811004757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 N MULLAN RD",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992066845",
            "telephone_number": "509-921-7884",
            "fax_number": "509-921-8038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 N MULLAN RD",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992066845",
            "telephone_number": "509-921-7884",
            "fax_number": "509-921-8038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND EMPIRE DERMATOLOGY, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2014-05-02",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "509-921-7884",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "WA",
            "license": "OP00001816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASURIS",
            "identifier": "3850RO",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7853434",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Incyte Pathology, PLLC (InCyte Pathology)
• Incyte Pathology, PLLC
• Incyte Technical Services, LLC
• Margaret Ann Inge, MS, LMHC, MHP
• Inland Empire Emergency Services Association
• Inland Family Chiropractic, LLC
• Inland Neurology, PLLC
• Inland Northwest Acupuncture, PLLC (Inwa)
• Inland Northwest Exercise Physiology and Weight Management LLC

• Procedural Dermatology Physician in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Procedural Dermatology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2014; 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.