Individual provider Active NPI

Sharon L Genung, MD

  • Pediatrics Physician
  • Spokane, WA
National Provider Identifier
1922019751
Registry record updated Jun 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD00028067 Issued in WA
Practice address
911 W 5TH Ave
Spokane, WA 99204-2901
Phone
(509) 623-0428
Fax
(509) 623-0415
NPI assigned
Aug 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD00028067 WA Primary

Addresses

Primary practice location

911 W 5TH Ave
Spokane, WA 99204-2901

Mailing address

Dept 5046
Shriners Hospitals for Children Spokane
Los Angeles, CA 90084-5046
Phone (813) 281-8478

Other identifiers 1

IdentifierTypeStateIssuer
25209MD00028067MedicaidWA

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
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277337600000",
    "number": "1922019751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 5046",
            "address_2": "SHRINERS HOSPITALS FOR CHILDREN SPOKANE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900845046",
            "telephone_number": "813-281-8478",
            "fax_number": "813-281-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 W 5TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042901",
            "telephone_number": "509-623-0428",
            "fax_number": "509-623-0415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENUNG",
        "first_name": "SHARON",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2010-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD00028067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "25209MD00028067",
            "state": "WA"
        }
    ],
    "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 Jun 24, 2010; 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.