NPIMap

Organization Active NPI

Cancer Care Northwest Centers P S

Doing business as Cancer Care Northwest

  • Hematology & Oncology Physician
  • Spokane Valley, WA
National Provider Identifier
1922072081
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
CANCER CARE NORTHWEST CENTERS P S
Doing business as
Cancer Care Northwest
Practice address
1204 N Vercler Rd
Spokane Valley, WA 99216-1020
Phone
(509) 228-1000
NPI assigned
Feb 15, 2006
Last updated
Jun 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Authorized official

Name
Rod Emerson
Title
Ceo
Phone
(509) 228-1000

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU
Hematology & Oncology Physician 207RH0003X NU Primary
Medical Oncology Physician 207RX0202X NU
Radiation Oncology Physician 2085R0001X NU
Surgical Oncology Physician 2086X0206X NU
Physician Assistant 363A00000X NU
Family Nurse Practitioner 363LF0000X NU
Non-Pharmacy Dispensing Site 332900000X NU

Addresses

Primary practice location

1204 N Vercler Rd
Spokane Valley, WA 99216-1020

Mailing address

1204 N Vercler Rd
Spokane Valley, WA 99216-1020
Phone (509) 228-1000

Other practice location 1

601 S Sherman St
Spokane, WA 99202-1311
Phone (509) 228-1000

Other identifiers 3

IdentifierTypeStateIssuer
7115108MedicaidWA
757523001OtherWADME
26412OtherWALABOR & INDUSTRIES

Other names 1

  • Cancer Care Northwest Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040302000160 WA Part B Supplier - Clinic/Group Practice 4688561939 Receives reassigned benefits from 56 practitioners
Practice locations: Spokane Valley, WA; Spokane, WA; Ritzville, WA; Moses Lake, WA; Colville, WA; Chewelah, WA
O20141010001878 ID Part B Supplier - Clinic/Group Practice 4688561939 Receives reassigned benefits from 17 practitioners
Practice locations: Coeur D Alene, ID; Post Falls, ID; Moscow, ID; Lewiston, ID

National Provider Directory

National Provider Directory

Locations

700 W Ironwood Dr
Ste 130
Coeur D Alene, ID 83814
Phone (208) 625-4700

1550 S Pioneer Way
Ste 350
Moses Lake, WA 98837
Phone (509) 793-9789

101 W 8th Ave
#L3
Spokane, WA 99204

605 E Holland Ave
Ste 215
Spokane, WA 99218
Phone (509) 939-5656

910 W 5th Ave
Ste 102
Spokane, WA 99204
Phone (509) 228-1635

910 W 5th Ave
Ste 130
Spokane, WA 99204
Phone (509) 228-1600

1204 N Vercler Rd
#101
Spokane Valley, WA 99216

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 57

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 57

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685664000000",
    "number": "1922072081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 N VERCLER RD",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161020",
            "telephone_number": "509-228-1000",
            "fax_number": "509-252-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 N VERCLER RD",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161020",
            "telephone_number": "509-228-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 S Sherman St",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992021311",
            "country_code": "US",
            "telephone_number": "509-228-1000",
            "fax_number": "509-252-9300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CANCER CARE NORTHWEST CENTERS P S",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-15",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A",
        "authorized_official_last_name": "EMERSON",
        "authorized_official_first_name": "ROD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "509-228-1000"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7115108",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "757523001",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "26412",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cancer Care Northwest",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cancer Care Northwest",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.