Organization Active NPI

South Hill Ambulatory Surgical Center PS

  • Ambulatory Surgical Clinic/Center
  • Spokane, WA
National Provider Identifier
1811950298
Registry record updated Oct 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
601348398 Issued in WA
Legal business name
SOUTH HILL AMBULATORY SURGICAL CENTER PS
Practice address
3707 S Grand Blvd
Suite a
Spokane, WA 99203-2712
Phone
(509) 747-0279
Fax
(509) 747-3220
NPI assigned
Apr 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2011

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

Authorized official

Name
Dr. Borys E Markewych, DPMNPI 1659337111
Title
President
Phone
(509) 747-0279

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 601348398 WA Primary

Addresses

Primary practice location

3707 S Grand Blvd
Suite a
Spokane, WA 99203-2712

Mailing address

3707 S Grand Blvd
Suite a
Spokane, WA 99203-2712
Phone (509) 747-0279

Other identifiers 1

IdentifierTypeStateIssuer
7063233MedicaidWA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
South Hill Ambulatory Surgical Center PSCCN 50C0001072
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

3028 S Grand Blvd
Spokane, WA 99203
Phone (509) 747-0274

3707 S Grand Blvd
Ste A
Spokane, WA 99203
Phone (509) 747-0274

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318550400000",
    "number": "1811950298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 S GRAND BLVD",
            "address_2": "SUITE A",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032712",
            "telephone_number": "509-747-0279",
            "fax_number": "509-747-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 S GRAND BLVD",
            "address_2": "SUITE A",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032712",
            "telephone_number": "509-747-0279",
            "fax_number": "509-747-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH HILL AMBULATORY SURGICAL CENTER PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-07",
        "last_updated": "2011-10-14",
        "status": "A",
        "authorized_official_last_name": "MARKEWYCH",
        "authorized_official_first_name": "BORYS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-747-0279",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WA",
            "license": "601348398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7063233",
            "state": "WA"
        }
    ],
    "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 Oct 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.