Active NPI
Russell N Oakley, M.D.
- Orthopaedic Surgery Physician
- Spokane, WA
National Provider Identifier
1962402875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD00029618
- Practice address
- 212 E Central Ave
Suite 245
Spokane, WA 99208-6291 - Phone
- (509) 252-1977
- Fax
- (509) 465-3026
- NPI assigned
- Jul 21, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MD00029618 | WA | Primary |
Addresses
Primary practice location
212 E Central Ave
Suite 245
Spokane, WA 99208-6291
Mailing address
PO Box 421
Spokane, WA 99210-0421
Phone (866) 747-2455
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1090257 | Medicaid | WA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00029618 | WA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inland Empire Hospital Services Association | Past | Accepting new patients | |
| David C Wynecoop Memorial Clinic DHHS IHS Wellpinit Service Unit | Past | Accepting new patients |
Interoperability endpoints
- roakley219587@wm.providencedirect.org
Organizations & group practices 2
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.
-
- Clinic/Center
- Wellpinit, WA
- NPI 1316034580
-
- Family Medicine Physician
- Spokane, WA
- NPI 1326002163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443571200000",
"number": "1962402875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 421",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992100421",
"telephone_number": "866-747-2455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 E CENTRAL AVE",
"address_2": "SUITE 245",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992086291",
"telephone_number": "509-252-1977",
"fax_number": "509-465-3026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OAKLEY",
"first_name": "RUSSELL",
"middle_name": "N",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-21",
"last_updated": "2015-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "WA",
"license": "MD00029618",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1090257",
"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 Sep 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.