Providence Physician Services Co

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PROVIDENCE PHYSICIAN SERVICES CO

Practice address

212 E Central
Ste 440
Spokane, WA 99208-6290

Phone

(509) 252-9602

NPI assigned

Apr 21, 2010

Organization subpart

Yes

Parent organization

PROVIDENCE PHYSICIAN SERVICES COAs reported in NPPES

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

Authorized official

Name

Anselmo Nunez

Title

Cfo

Phone

(509) 474-6616

Specialties & licenses 1

Addresses

Other names 1

• PPS PROV FAMILY MED NORTHPOINT Doing business as

Tax ID family

Ms Center2 organizations share this tax ID, including this one

Part of

Ms Center

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Providence Physician Services Co.

  • Orthopaedic Surgery Physician
  • Spokane, WA
  • NPI 1992083216
  NPD tax ID

Locations (25 of 27)

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin O Heid, PHD

  • Psychologist
  • Spokane, WA
  • NPI 1972537322
  NPD (past)
• Thomas R Pellow, MD

  • Vascular Surgery Physician
  • Spokane, WA
  • NPI 1649233032
  NPD (past)
• Pragya Rai, M.D

  • Pediatric Pulmonology Physician
  • Spokane, WA
  • NPI 1972719813
  NPD (past)
• Mary Kathleen Reilly, MD

  • Vascular Surgery Physician
  • Spokane, WA
  • NPI 1154385847
  NPD (past)
• Janette M Worley, ARNP

  • Family Nurse Practitioner
  • Spokane, WA
  • NPI 1154332930
  NPD (past)

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

{
    "created_epoch": "1271808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298851200000",
    "number": "1982921649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W 8TH AVE",
            "address_2": "MOTHER GAMELIN CENTER, 3RD FLOOR",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 E CENTRAL",
            "address_2": "STE 440",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992086290",
            "telephone_number": "509-252-9602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE PHYSICIAN SERVICES CO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROVIDENCE PHYSICIAN SERVICES CO",
        "enumeration_date": "2010-04-21",
        "last_updated": "2011-02-28",
        "status": "A",
        "authorized_official_last_name": "NUNEZ",
        "authorized_official_first_name": "ANSELMO",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "509-474-6616"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PPS PROV FAMILY MED NORTHPOINT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Providence Health & Services Washington
• Providence Health & Services- Washington
• Providence Health & Services- Washington
• Providence Health & Services-Wa
• Providence Health & Services-Washington
• Providence Physician Services Co.
• Providence Sacred Heart Medical Center
• Providence Senior Home LLC
• Providential Solutions LLC
• Anna Edith Pruett, OT

• Family Medicine Physician in Spokane, WA
• Providers in Spokane, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; 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.