Individual provider Active NPI

Ty J. Winder, PA-C

  • Physician Assistant
  • Spokane, WA
National Provider Identifier
1811321680
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA60408135 Issued in WA
Practice address
601 W 5TH Ave Ste 400
Spokane, WA 99204-2715
Phone
(509) 344-2663
NPI assigned
Aug 28, 2013
Last updated
Dec 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA60408135 WA Primary
Medical Physician Assistant 363AM0700X PA60408135 WA

Addresses

Primary practice location

601 W 5TH Ave Ste 400
Spokane, WA 99204-2715

Mailing address

601 W 5TH Ave Ste 400
Spokane, WA 99204-2715
Phone (509) 344-2663

Other practice location 1

840 E Hill Ave
Moses Lake, WA 98837-2238
Phone (509) 765-0216

Other practice location 2

601 W 5th Ave Ste 500
Spokane, WA 99204-2756
Phone (509) 344-8672

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131018000847 WA Practitioner - Physician Assistant 7214161694 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

12410 E Sinto Ave
Suite 101
Spokane Valley, WA 99216-2258
Phone (509) 789-2955

12410 E Sinto Ave
Suite 201
Spokane Valley, WA 99216-2280
Phone (509) 928-4334

212 E Central Ave
Suite 140
Spokane, WA 99208-6289
Phone (509) 465-1300

2710 E 57TH Ave
Spokane, WA 99223-6678
Phone (509) 252-2354

601 W 5TH Ave
Suite 400
Spokane, WA 99204-2715
Phone (509) 344-2663

9310 N Division St
Spokane, WA 99218-1227
Phone (509) 789-2836

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Orthopaedic Specialists, P.S. CurrentSince Nov 16, 2015 Accepting new patients
Northwest Orthopaedic Specialists PS CurrentSince Nov 16, 2015 Accepting new patients
Wenatchee Valley Hospital CurrentSince Aug 26, 2013 Accepting new patients
Wenatchee Valley Hospital Current Accepting new patients

Locations

840 E Hill Ave
Moses Lake, WA 98837
Phone (509) 764-6400

601 W 5th Ave
Ste 100
Spokane, WA 99204
Phone (509) 343-3907

601 W 5th Ave
Ste 400
Spokane, WA 99204
Phone (509) 344-2663

601 W 5th Ave
Ste 500
Spokane, WA 99204
Phone (509) 344-2663

17 S Western Ave
Tonasket, WA 98855
Phone (509) 486-2174

820 N Chelan Ave
Wenatchee, WA 98801
Phone (509) 863-4868

Interoperability endpoints

  • Direct secure messaging: ty.winder.1@16598.direct.athenahealth.com

Organizations & group practices 4

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

Hospital & facility affiliations 1

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": "1377648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1811321680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W 5TH AVE STE 400",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042715",
            "telephone_number": "509-344-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W 5TH AVE STE 400",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042715",
            "telephone_number": "509-344-2663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "840 E Hill Ave",
            "address_purpose": "LOCATION",
            "city": "Moses Lake",
            "state": "WA",
            "postal_code": "988372238",
            "country_code": "US",
            "telephone_number": "509-765-0216",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 W 5th Ave Ste 500",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992042756",
            "country_code": "US",
            "telephone_number": "509-344-8672",
            "fax_number": "509-747-7838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINDER",
        "first_name": "TY",
        "middle_name": "J.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-28",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60408135",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA60408135",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.