NPIMap

Organization Active NPI

Providence Physician Services Co.

  • Orthopaedic Surgery Physician
  • Spokane, WA
National Provider Identifier
1992083216
Registry record updated Aug 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
PROVIDENCE PHYSICIAN SERVICES CO.
Practice address
820 S McClellan, Suite 300
Providence Orthopedic Specialties
Spokane, WA 99204
Phone
(509) 464-7880
Fax
(509) 464-7961
NPI assigned
Aug 3, 2011
Organization subpart
Yes
Parent organization
PROVIDENCE PHYSICIAN SERVICES CO.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 3, 2011

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

Authorized official

Name
Mr. Michael J Mallory
Title
Credentialing Specialist
Phone
(425) 525-6798

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

820 S McClellan, Suite 300
Providence Orthopedic Specialties
Spokane, WA 99204

Mailing address

PO Box 34439
Seattle, WA 98124

Other names 1

  • PPS Providence Orthopedic Specialties Doing business as

National Provider Directory

National Provider Directory
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.

NPI Registry JSON

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

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312329600000",
    "number": "1992083216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34439",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S MCCLELLAN, SUITE 300",
            "address_2": "PROVIDENCE ORTHOPEDIC SPECIALTIES",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99204",
            "telephone_number": "509-464-7880",
            "fax_number": "509-464-7961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE PHYSICIAN SERVICES CO.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROVIDENCE PHYSICIAN SERVICES CO.",
        "enumeration_date": "2011-08-03",
        "last_updated": "2011-08-03",
        "status": "A",
        "authorized_official_last_name": "MALLORY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "425-525-6798",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PPS Providence Orthopedic Specialties",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 3, 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.