Organization Active NPI

Shillmed, PLLC

  • Internal Medicine Physician
  • Spokane Valley, WA
National Provider Identifier
1891560918
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SHILLMED, PLLC
Practice address
12810 E Nora Ave Ste F
Spokane Valley, WA 99216-1055
Phone
(509) 303-4001
Fax
(509) 286-1354
NPI assigned
Nov 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Authorized official

Name
Dr. Otto Stronach Shill IV, DONPI 1225480411
Title
Owner
Phone
(509) 303-4001

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 204D00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Obesity Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RB0002X

Addresses

Primary practice location

12810 E Nora Ave Ste F
Spokane Valley, WA 99216-1055

Mailing address

12810 E Nora Ave Ste F
Spokane Valley, WA 99216-1055
Phone (509) 303-4001

Other practice location 1

1170 W Fairview St # A
Colfax, WA 99111-9580
Phone (509) 303-4001

National Provider Directory

National Provider Directory

Locations

1170 W Fairview St
#A
Colfax, WA 99111
Phone (509) 303-4001

12810 E Nora Ave
Ste F
Spokane Valley, WA 99216
Phone (509) 303-4001

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1891560918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12810 E NORA AVE STE F",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161055",
            "telephone_number": "509-303-4001",
            "fax_number": "509-286-1354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12810 E NORA AVE STE F",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161055",
            "telephone_number": "509-303-4001",
            "fax_number": "509-286-1354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1170 W Fairview St # A",
            "address_purpose": "LOCATION",
            "city": "Colfax",
            "state": "WA",
            "postal_code": "991119580",
            "country_code": "US",
            "telephone_number": "509-303-4001",
            "fax_number": "509-286-1354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHILLMED, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-20",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A",
        "authorized_official_last_name": "SHILL",
        "authorized_official_first_name": "OTTO",
        "authorized_official_middle_name": "STRONACH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-303-4001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RB0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.