Individual provider Active NPI

Patricia Cecelia O'Rourke, M.D.

  • General Practice Physician
  • Spokane, WA
National Provider Identifier
1922014885
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MD00025963 Issued in WA
Practice address
10117 N Division St
Suite 3
Spokane, WA 99218-1306
Phone
(509) 468-1064
Fax
(509) 468-1298
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X MD00025963 WA Primary

Addresses

Primary practice location

10117 N Division St
Suite 3
Spokane, WA 99218-1306

Mailing address

10117 N Division St
Suite 3
Spokane, WA 99218-1306
Phone (509) 468-1064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050309000216 WA Practitioner - General Practice 6204880602 Practice locations: Spokane, WA

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Michigan State University College of Human Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10117 N Division
Suite 3
Spokane, WA 99218-1306

10117 N Division
Suite 3
Spokane, WA 99218-5007
Phone (509) 468-1064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
TLC Health & Education Services Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922014885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10117 N DIVISION ST",
            "address_2": "SUITE 3",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181306",
            "telephone_number": "509-468-1064",
            "fax_number": "509-468-1298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10117 N DIVISION ST",
            "address_2": "SUITE 3",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181306",
            "telephone_number": "509-468-1064",
            "fax_number": "509-468-1298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'ROURKE",
        "first_name": "PATRICIA",
        "middle_name": "CECELIA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WA",
            "license": "MD00025963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.