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INLAND EMPIRE GASTROENTEROLOGY PS NPI 1750380812


NPI Information

NPI: 1750380812
Provider Name: INLAND EMPIRE GASTROENTEROLOGY PS
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
105 W 8TH AVE
STE 6050
SPOKANE, WA
ZIP 99204
Phone: (509) 747-0143
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INLAND EMPIRE GASTROENTEROLOGY PS is a gastroenterology internal medicine in Spokane, WA. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. INLAND EMPIRE GASTROENTEROLOGY PS NPI is 1750380812. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

105 W 8TH AVE
STE 6050
SPOKANE, WA
ZIP 99204-302
Phone: (509) 747-0143
Fax: (509) 744-1571

The provider's authorized official is Michelle L Johnson .
The authorized official title is Business Office Mngr and has the following contact phone number (509) 462-1525.

The enumeration date for this NPI number is 7/20/2005 and was last updated on 11/12/2010.


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
1207RG0100XInternal MedicineGastroenterology601859779WASHINGTONYes

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
17089501MEDICAIDWASHINGTON
2AB03686MEDICARE ID-TYPE UNSPECIFIED

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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