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NW CARDIOTHORACIC & TRANSPLANT SURGEONS P.S. NPI 1336194703


NPI Information

NPI: 1336194703
Provider Name: NW CARDIOTHORACIC & TRANSPLANT SURGEONS P.S.

Doing Business As: NORTHWEST CARDIOTHORACIC & TRANSPLANT SURGEONS, PS

Classification: Transplant Surgery - 204F00000X
Entity Type: Organization
Address:
105 W 8TH AVE
SUITE 532
SPOKANE, WA
ZIP 99204
Phone: (509) 623-7575
Get Directions

NW CARDIOTHORACIC & TRANSPLANT SURGEONS P.S. is a transplant surgery in Spokane, WA. The provider is a surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee NW CARDIOTHORACIC & TRANSPLANT SURGEONS P.S. NPI is 1336194703. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Northwest Cardiothoracic & Transplant Surgeons, Ps.

The provider's business location address is:

105 W 8TH AVE
SUITE 532
SPOKANE, WA
ZIP 99204-307
Phone: (509) 623-7575
Fax: (509) 623-7578

The provider's authorized official is Timothy B Icenogle .
The authorized official title is President and has the following contact phone number (509) 623-7575.

The enumeration date for this NPI number is 5/24/2006 and was last updated on 7/9/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseNo
2208600000XSurgeryNo
3204F00000XTransplant SurgeryYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G000302400MEDICARE PINWASHINGTON
2601433334OTHERWASHINGTONSTATE LICENSE UBI
330277OTHERWASHINGTONL&I LICENSE NUMBER

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

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