Organization Active NPI

William F Corell MD

  • Family Medicine Physician
  • Spokane, WA
National Provider Identifier
1831162163
Registry record updated Dec 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
17781 Issued in WA
Legal business name
WILLIAM F CORELL MD
Practice address
3424 S Grand Blvd
Spokane, WA 99203-2621
Phone
(509) 838-5800
Fax
(509) 838-4042
NPI assigned
Feb 8, 2006
Last updated
Dec 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2008

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

Authorized official

Name
William Frank Corell, MD
Title
Owner
Phone
(509) 838-5800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 17781 WA Primary

Addresses

Primary practice location

3424 S Grand Blvd
Spokane, WA 99203-2621

Mailing address

3424 S Grand Blvd
Spokane, WA 99203-2621
Phone (509) 838-5800

Other identifiers 1

IdentifierTypeStateIssuer
04165CORELLOtherPREMERA BLUE CROSS

Other names 1

  • Integrative Medicine Associates Other name

National Provider Directory

National Provider Directory

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": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230508800000",
    "number": "1831162163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3424 S GRAND BLVD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032621",
            "telephone_number": "509-838-5800",
            "fax_number": "509-838-4042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3424 S GRAND BLVD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032621",
            "telephone_number": "509-838-5800",
            "fax_number": "509-838-4042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM F CORELL MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-08",
        "last_updated": "2008-12-29",
        "status": "A",
        "authorized_official_last_name": "CORELL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-838-5800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "17781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREMERA BLUE CROSS",
            "identifier": "04165CORELL",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrative Medicine Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 29, 2008; 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.