Organization Active NPI

Carol R Guthrie MD

  • Surgery Physician
  • Spokane, WA
National Provider Identifier
1891982385
Registry record updated Aug 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD00032018 Issued in WA
Legal business name
CAROL R GUTHRIE MD
Practice address
105 W 8TH Ave
Suite 122
Spokane, WA 99204-2322
Phone
(509) 455-9550
Fax
(509) 456-3342
NPI assigned
Sep 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2009

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

Authorized official

Name
Carol R Guthrie, MDNPI 1992813141
Title
Owner
Phone
(509) 455-9550

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X MD00032018 WA Primary

Addresses

Primary practice location

105 W 8TH Ave
Suite 122
Spokane, WA 99204-2322

Mailing address

105 W 8TH Ave
Suite 122
Spokane, WA 99204-2302
Phone (509) 455-9550

Other identifiers 1

IdentifierTypeStateIssuer
7118524MedicaidWA

Other names 1

  • Spokane Breast Center Doing business as

National Provider Directory

National Provider Directory

Locations

105 W 8th Ave
Ste 122
Spokane, WA 99204
Phone (509) 455-9550

Practitioners & affiliated clinicians

Practitioners 2

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": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250812800000",
    "number": "1891982385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W 8TH AVE",
            "address_2": "SUITE 122",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042302",
            "telephone_number": "509-455-9550",
            "fax_number": "509-456-3342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W 8TH AVE",
            "address_2": "SUITE 122",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042322",
            "telephone_number": "509-455-9550",
            "fax_number": "509-456-3342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL R GUTHRIE MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2009-08-21",
        "status": "A",
        "authorized_official_last_name": "GUTHRIE",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-455-9550",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD00032018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7118524",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spokane Breast Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 21, 2009; 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.