Valley Gastroenterology PS

Primary specialty

SpecialistTaxonomy code 174400000X

License

601915471 Issued in WA

Legal business name

VALLEY GASTROENTEROLOGY PS

Practice address

12401 E Sinto Ave
Spokane Valley, WA 99216-1081

Phone

(509) 922-2055

NPI assigned

Aug 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Paul M Craig, M.D.

Title

Owner

Phone

(509) 922-2055

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350000000000",
    "number": "1861507030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12401 E SINTO AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161081",
            "telephone_number": "509-922-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12401 E SINTO AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161081",
            "telephone_number": "509-922-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY GASTROENTEROLOGY PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2012-10-12",
        "status": "A",
        "authorized_official_last_name": "CRAIG",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-922-2055",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "601915471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7104243",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Valentine, ARNP
• Debra Ann Vallejo, MA
• Valley Careride LLC
• Valley Dermatology and Skin Cancer Center
• Valley Gastroenterology PS
• Valley Massage Clinic
• Valley Massage Clinic
• Valley Massage Investment Inc (Valley Massage Clinic)
• Valley Massge Clinic
• Valley Mission Pharmacy

• Specialist in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; 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.