Active NPI
Patricia Cecelia O'Rourke, M.D.
- General Practice Physician
- Spokane, WA
National Provider Identifier
1922014885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- MD00025963
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New 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.
-
- Nurse Practitioner
- Spokane, WA
- NPI 1093961039
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.