| Cancer Care Northwest | |
|
1204 N Vercler Rd Spokane Valley WA 99216-1020 | |
| (509) 228-1000 | |
| Not Available |
| Full Name | Cancer Care Northwest |
|---|---|
| Speciality | Internal Medicine |
| Location | 1204 N Vercler Rd, Spokane Valley, Washington |
| Authorized Official Name and Position | Rod Emerson (CEO) |
| Authorized Official Contact | 5092281000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cancer Care Northwest 1204 N Vercler Rd Spokane Valley WA 99216-1020 Ph: (509) 228-1000 | Cancer Care Northwest 1204 N Vercler Rd Spokane Valley WA 99216-1020 Ph: (509) 228-1000 |
| NPI Number | 1922072081 |
|---|---|
| Provider Enumeration Date | 02/15/2006 |
| Last Update Date | 06/02/2023 |
| Certification Date | 06/02/2023 |
| Medicare PECOS PAC ID | 4688561939 |
|---|---|
| Medicare Enrollment ID | O20040302000160 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922072081 | NPI | - | NPPES |
| 26412 | Other | WA | LABOR & INDUSTRIES |
| 757523001 | Other | WA | DME |
| 7115108 | Medicaid | WA |
| Provider Name | Robert K Fairbanks |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1821084781 PECOS PAC ID: 5294622551 Enrollment ID: I20040319001465 |
| Provider Name | Kristine J Rinn |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1174607899 PECOS PAC ID: 4183611742 Enrollment ID: I20040427000941 |
| Provider Name | Hakan Kaya |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1255320974 PECOS PAC ID: 9830186188 Enrollment ID: I20040428000847 |
| Provider Name | Wayne T Lamoreaux |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1831188036 PECOS PAC ID: 5991745010 Enrollment ID: I20050509000627 |
| Provider Name | Christopher M Lee |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1043266810 PECOS PAC ID: 3678583432 Enrollment ID: I20060425000370 |
| Provider Name | Maury N Blitman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1396713095 PECOS PAC ID: 0345238101 Enrollment ID: I20071130000625 |
| Provider Name | Susan M Laing |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1164414785 PECOS PAC ID: 2264326198 Enrollment ID: I20080710000108 |
| Provider Name | Gary Van Heuvelen |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1629060256 PECOS PAC ID: 4981591062 Enrollment ID: I20080710000150 |
| Provider Name | Saritha C Thumma |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1952445223 PECOS PAC ID: 7113090671 Enrollment ID: I20080717000276 |
| Provider Name | Jon L Griffith |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1356333959 PECOS PAC ID: 2264329341 Enrollment ID: I20080828000577 |
| Provider Name | Peter J Schlegel |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1891785838 PECOS PAC ID: 8224110747 Enrollment ID: I20081027000312 |
| Provider Name | Stephanie R Moline |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1225027436 PECOS PAC ID: 8325120843 Enrollment ID: I20091230000476 |
| Provider Name | Maryam Parviz |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1962491985 PECOS PAC ID: 4789766205 Enrollment ID: I20091230000567 |
| Provider Name | Srivalli Gopaluni |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1427208990 PECOS PAC ID: 7719141191 Enrollment ID: I20120614000757 |
| Provider Name | Alexander Russell Mackay |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1063566529 PECOS PAC ID: 6901981323 Enrollment ID: I20120719000152 |
| Provider Name | Paula J Schomberg |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1245218536 PECOS PAC ID: 2062556582 Enrollment ID: I20121031000537 |
| Provider Name | Arthur Molina |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1699718007 PECOS PAC ID: 4789662685 Enrollment ID: I20130319000180 |
| Provider Name | Aaron E Wagner |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1831424365 PECOS PAC ID: 0446482459 Enrollment ID: I20140708000800 |
| Provider Name | Paula Mckee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134402365 PECOS PAC ID: 6103132030 Enrollment ID: I20150908002244 |
| Provider Name | Stephen Hasler Thatcher |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1851628077 PECOS PAC ID: 2264610336 Enrollment ID: I20151104000428 |
| Provider Name | Eiko Klimant |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1154354967 PECOS PAC ID: 4385618891 Enrollment ID: I20151211000128 |
| Provider Name | Harry Yu |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1689697880 PECOS PAC ID: 5799767380 Enrollment ID: I20180108003243 |
| Provider Name | Elizabeth Michelle Gunderson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1053401745 PECOS PAC ID: 8325186745 Enrollment ID: I20190708000662 |
| Provider Name | Srijana Rai |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1093144222 PECOS PAC ID: 1658606090 Enrollment ID: I20190708002539 |
| Provider Name | Kimberly M Hardwick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164082244 PECOS PAC ID: 2860721586 Enrollment ID: I20190905002544 |
| Provider Name | Amanda Lee Rosemary Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801440102 PECOS PAC ID: 5092044305 Enrollment ID: I20190912000529 |
| Provider Name | Bryan Ager |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1306231907 PECOS PAC ID: 8426337619 Enrollment ID: I20200610001224 |
| Provider Name | Corbin D Jacobs |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1982099412 PECOS PAC ID: 7214229673 Enrollment ID: I20200709001945 |
| Provider Name | Christine Fiorentino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033531892 PECOS PAC ID: 9234350794 Enrollment ID: I20201012001729 |
| Provider Name | Susan Burchill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649723305 PECOS PAC ID: 8527356831 Enrollment ID: I20201105002621 |
| Provider Name | Jennifer Lazzara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720503881 PECOS PAC ID: 9234403098 Enrollment ID: I20210225003101 |
| Provider Name | Orlan Kenneth Macdonald |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1760543755 PECOS PAC ID: 4789785437 Enrollment ID: I20210309001729 |
| Provider Name | Sheree Lynn Harnett-lobdell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396326088 PECOS PAC ID: 9739588328 Enrollment ID: I20210602001516 |
| Provider Name | Deborah Elizabeth Monahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215200613 PECOS PAC ID: 0244494250 Enrollment ID: I20210622001947 |
| Provider Name | Nikolas Steven Rademaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144996661 PECOS PAC ID: 1658777156 Enrollment ID: I20210909000003 |
| Provider Name | Michael Kos |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1366599631 PECOS PAC ID: 5991782476 Enrollment ID: I20210915001465 |
| Provider Name | Jessica Hellyer |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1235557398 PECOS PAC ID: 0648693317 Enrollment ID: I20220117000537 |
| Provider Name | Lia Head |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1043674161 PECOS PAC ID: 1254623150 Enrollment ID: I20220523000760 |
| Provider Name | Brenen Swofford |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1447614110 PECOS PAC ID: 5193099414 Enrollment ID: I20220627003313 |
| Provider Name | Stephanie Swarthout |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1376152108 PECOS PAC ID: 0941611214 Enrollment ID: I20220831001647 |
| Provider Name | Nicole Falkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679215081 PECOS PAC ID: 9537543095 Enrollment ID: I20220831003942 |
| Provider Name | Jamie Lummus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417401415 PECOS PAC ID: 7416369798 Enrollment ID: I20221104001674 |
| Provider Name | Jonathan E Holloway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760089841 PECOS PAC ID: 6709296882 Enrollment ID: I20221222002613 |
| Provider Name | Nelbie Anne Duran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841874567 PECOS PAC ID: 2365841145 Enrollment ID: I20230927001806 |
| Provider Name | Michalina Kupsik |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1043657422 PECOS PAC ID: 7113223371 Enrollment ID: I20240108004025 |
Childrens Home Society Of Washington Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2323 N Discovery Place, Spokane Valley, WA 99216 Phone: 509-747-4174 Fax: 509-838-3847 | |
Hands In Motion Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10525 E Main Ave, Spokane Valley, WA 99206 Phone: 509-217-5326 | |
Mae's Hope, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 521 N Argonne Rd, Building B Suite 105, Spokane Valley, WA 99212 Phone: 509-329-8413 | |
Maxim Healthcare Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 16201 E Indiana Ave, Spokane Valley, WA 99216 Phone: 509-900-3669 Fax: 855-864-1497 | |
A Peaceful Mind Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7920 E Shannon Ave, Spokane Valley, WA 99212 Phone: 509-294-7299 Fax: 509-294-7299 | |
Northwest Tms Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 16201 E Indiana Ave, Suite 5300, Spokane Valley, WA 99216 Phone: 509-919-4060 Fax: 509-789-9013 | |
Insight Health Connections Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 517 N Timberlane Rd, Spokane Valley, WA 99037 Phone: 832-975-0790 |