Northwest Eyelid and Orbital Specialists PS

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

NORTHWEST EYELID AND ORBITAL SPECIALISTS PS

Practice address

626 S Sheridan St
Spokane, WA 99202-1325

Phone

(509) 279-2176

Fax

(509) 279-2941

NPI assigned

Sep 24, 2013

Last updated

Sep 30, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kevin Scott Michels, M.D.NPI 1841405404

Title

President/Owner

Phone

(509) 279-2176

Specialties & licenses 1

Addresses

Other names 1

• NEOS Surgery Center Other name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Northwest Eyelid and Orbital Specialists, P.S.

  • Ophthalmology Physician
  • Spokane, WA
  • NPI 1053637702

  9133252935

  Same PAC ID

Listed as

Neos Surgery CenterCCN 50C0001304

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Neos Surgery Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Northwest Eyelid and Orbital Specialists, P.S.

  • Ophthalmology Physician
  • Spokane, WA
  • NPI 1053637702
  NPD tax ID

Locations

Practitioners 2

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.

• Kevin Scott Michels, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Spokane, WA
  • NPI 1841405404
  NPD Authorized official
• Talmage Jay Broadbent, MD,PHD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Spokane, WA
  • NPI 1043507205
  NPD

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380499200000",
    "number": "1871929646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 S. SHERIDAN ST.",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021325",
            "telephone_number": "509-279-2176",
            "fax_number": "509-279-2941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 S SHERIDAN ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021325",
            "telephone_number": "509-279-2176",
            "fax_number": "509-279-2941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST EYELID AND ORBITAL SPECIALISTS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-24",
        "last_updated": "2013-09-30",
        "status": "A",
        "authorized_official_last_name": "MICHELS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "509-279-2176",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEOS Surgery Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Northwest Cardiac and Vascular Imaging, LLC
• Northwest Care Alliance, PLLC
• Northwest Center for Congenital Heart Disease
• Northwest Counseling Center PLLC
• Northwest Direct Primary Care (Northwest DPC & Headache)
• Northwest Eyelid and Orbital Specialists, P.S.
• Northwest Family Advocates
• Northwest Health Systems Inc
• Northwest Implants and Sleep Dentistry
• Northwest Internal Medicine, PLLC

• Ambulatory Surgical Clinic/Center in Spokane, WA
• Providers in Spokane, WA by specialty
• Ambulatory Surgical Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.