Individual provider Active NPI

John D. Begley III, PA

  • Physician Assistant
  • Spokane, WA
National Provider Identifier
1912152604
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA60188560 Issued in WA
Practice address
9631 N Nevada St Ste 100
Spokane, WA 99218-1134
Phone
(509) 625-3760
Fax
(509) 625-3789
NPI assigned
Nov 21, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA60188560 WA Primary

Addresses

Primary practice location

9631 N Nevada St Ste 100
Spokane, WA 99218-1134

Mailing address

9631 N Nevada St Ste 100
Spokane, WA 99218-1134
Phone (509) 625-3760

Other names 1

  • John Daniel Leonard Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1912152604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9631 N NEVADA ST STE 100",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181134",
            "telephone_number": "509-625-3760",
            "fax_number": "509-625-3789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9631 N NEVADA ST STE 100",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181134",
            "telephone_number": "509-625-3760",
            "fax_number": "509-625-3789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEGLEY",
        "first_name": "JOHN",
        "middle_name": "D.",
        "name_suffix": "III",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-21",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60188560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "LEONARD",
            "middle_name": "DANIEL",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jan 29, 2020; 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.