SANDRA L. FORNWALT M.D. NPI 1588660427

NPI Information

NPI: 1588660427
Provider Name: SANDRA L. FORNWALT, M.D.
Classification: Obstetrics & Gynecology - 207VX0000X
Entity Type: Individual

Specialization: Obstetrics

PECOS Registration: Yes

Address:
101 W 8TH AVE
SUITE 1100
SPOKANE, WA
ZIP 99204
Phone: (509) 474-4060
Get Directions

Sandra L. Fornwalt, M.D. is an obstetrics obstetrics gynecology in Spokane, WA. The provider is a physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee Sandra L. Fornwalt, M.D. NPI is 1588660427. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

101 W 8TH AVE
SUITE 1100
SPOKANE, WA
ZIP 99204-307
Phone: (509) 474-4060
Fax: (509) 474-6198

The NPI 1588660427 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 6/24/2005 and was last updated on 5/18/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207VX0000X	Obstetrics & Gynecology	Obstetrics	MD00049202	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	407023200	MEDICAID	MARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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