Active NPI
James William Annis Jr., PA-C
- Medical Physician Assistant
- Spokane, WA
National Provider Identifier
1851691323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA60191284
- Practice address
- 911 W 5TH Ave
Spokane, WA 99204-2901 - Phone
- (509) 455-7844
- Fax
- (509) 623-0415
- NPI assigned
- Oct 29, 2010
- Last updated
- Oct 23, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA60191284 | WA | Primary |
Addresses
Primary practice location
911 W 5TH Ave
Spokane, WA 99204-2901
Mailing address
PO Box 8500 Lockbox 7642
Philadelphia, PA 19178-7642
Phone (813) 281-8115
Other practice location 1
911 W 5th Ave
Spokane, WA 99204-2901
Phone (509) 623-0428
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA60191284 | WA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shriners Hospitals for Children | Past | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508716800000",
"number": "1851691323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8500 LOCKBOX 7642",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191787642",
"telephone_number": "813-281-8115",
"fax_number": "813-281-8656"
},
{
"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": "509-455-7844",
"fax_number": "509-623-0415"
}
],
"practiceLocations": [
{
"address_1": "911 W 5th Ave",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992042901",
"country_code": "US",
"telephone_number": "509-623-0428",
"fax_number": "509-623-0415",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANNIS",
"first_name": "JAMES",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-29",
"last_updated": "2017-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WA",
"license": "PA60191284",
"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 Oct 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.