SANDRA L. FORNWALT M.D. NPI 1588660427

NPI Information

  • NPI: 1588660427
  • Provider Name: SANDRA L. FORNWALT, M.D.
  • Classification: Obstetrics & Gynecology - 207VX0000X
  • Specialization: Obstetrics
  • Entity Type: Individual
  • Address: 101 W 8TH AVE
    SUITE 1100
    SPOKANE, WA
    ZIP 99204
  • Phone: (509) 474-4060

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NPI Details

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 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
1207VX0000XObstetrics & GynecologyObstetricsMD00049202WASHINGTONYes

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
1407023200MEDICAIDMARYLAND

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: 3/30/2025

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