Active NPI
Shillmed, PLLC
- Internal Medicine Physician
- Spokane Valley, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Otto Stronach Shill IV, DO
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | |||
| Internal Medicine Physician | 207R00000X | Primary | ||
| Obesity Medicine (Internal Medicine) Physician | 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 DirectoryLocations
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.
-
- Internal Medicine Physician
- Spokane Valley, WA
- NPI 1225480411
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.