Active NPI
Geetha Samuel, M.D.
- Family Medicine Physician
- Spokane, WA
National Provider Identifier
1922483775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD60846708
- Practice address
- 605 E Holland Ave Ste 200
Spokane, WA 99218-1246 - Phone
- (402) 280-2010
- NPI assigned
- Jul 22, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 7541 | NE | |
| Family Medicine Physician | 207Q00000X | MD60846708 | WA | Primary |
Addresses
Primary practice location
605 E Holland Ave Ste 200
Spokane, WA 99218-1246
Mailing address
605 E Holland Ave
Ste 200
Spokane, WA 99218-1246
Phone (509) 838-2531
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7541 | NE | MD | General Practice Dentistry |
| MD60846708 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Family Medicine | Current | Accepting new patients |
| Multicare Health System | Current | Accepting new patients |
Locations
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
800 W 5th Ave
Spokane, WA 99204
Phone (509) 458-5800
311 S L St
Tacoma, WA 98405
Phone (253) 403-1444
Organizations & group practices 3
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.
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- Community/Retail Pharmacy
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- NPI 1396594875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565740800000",
"number": "1922483775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 E HOLLAND AVE",
"address_2": "STE 200",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992181246",
"telephone_number": "509-838-2531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 E HOLLAND AVE STE 200",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992181246",
"telephone_number": "402-280-2010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMUEL",
"first_name": "GEETHA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-22",
"last_updated": "2019-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NE",
"license": "7541",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD60846708",
"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 Aug 14, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.