| Northwest Spine And Pain Medicine | |
|
3124 S Regal St Spokane WA 99223-4704 | |
| (509) 464-6208 | |
| (888) 316-1928 |
| Full Name | Northwest Spine And Pain Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 3124 S Regal St, Spokane, Washington |
| Authorized Official Name and Position | Jamie Lee Lewis (CEO) |
| Authorized Official Contact | 5094646208 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Spine And Pain Medicine Po Box 112 Spokane WA 99210-0112 Ph: (509) 464-6208 | Northwest Spine And Pain Medicine 3124 S Regal St Spokane WA 99223-4704 Ph: (509) 464-6208 |
| NPI Number | 1669789228 |
|---|---|
| Provider Enumeration Date | 09/02/2010 |
| Last Update Date | 08/26/2019 |
| Medicare PECOS PAC ID | 5799972212 |
|---|---|
| Medicare Enrollment ID | O20101209001132 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669789228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Jamie L Lewis |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1073724290 PECOS PAC ID: 9830280072 Enrollment ID: I20070802000329 |
| Provider Name | Ghassan S Nemri |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952334195 PECOS PAC ID: 3072605641 Enrollment ID: I20070828000126 |
| Provider Name | Patricia E Fernandez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316062896 PECOS PAC ID: 5799967303 Enrollment ID: I20110302001087 |
| Provider Name | David W Springer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366712796 PECOS PAC ID: 4688821580 Enrollment ID: I20120828000909 |
| Provider Name | Edelweiss Von Maack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093128860 PECOS PAC ID: 1850515354 Enrollment ID: I20140623002115 |
| Provider Name | Pamela M Clark |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730264334 PECOS PAC ID: 9335456995 Enrollment ID: I20150914002633 |
| Provider Name | Xiang Y Jing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962898403 PECOS PAC ID: 6305154865 Enrollment ID: I20151001003059 |
| Provider Name | Susan E Steadman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184090078 PECOS PAC ID: 8527376821 Enrollment ID: I20151007000731 |
| Provider Name | Theodore G Sneed |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790862001 PECOS PAC ID: 0648378182 Enrollment ID: I20160803002248 |
| Provider Name | Howard Grattan |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1902973266 PECOS PAC ID: 5597855304 Enrollment ID: I20161003002504 |
| Provider Name | Ashley Ann Baggott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053856443 PECOS PAC ID: 6709162647 Enrollment ID: I20170407001947 |
| Provider Name | Megan G Wildes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235660929 PECOS PAC ID: 3173809670 Enrollment ID: I20170418001735 |
| Provider Name | James L Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609387083 PECOS PAC ID: 0244593002 Enrollment ID: I20190313002917 |
| Provider Name | Michelle R Brothers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710537667 PECOS PAC ID: 6507299419 Enrollment ID: I20200226002736 |
| Provider Name | Lynette Schultz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558550491 PECOS PAC ID: 6305003294 Enrollment ID: I20210107001710 |
| Provider Name | Amanda Spayde-baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760054845 PECOS PAC ID: 6608279716 Enrollment ID: I20210727003646 |
| Provider Name | Amanda Chiyoko Hamlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477221901 PECOS PAC ID: 9931505427 Enrollment ID: I20210908003714 |
| Provider Name | Ariel Noel Lagnion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962164293 PECOS PAC ID: 9638567357 Enrollment ID: I20211029002467 |
| Provider Name | Mark Douglas Christensen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356096309 PECOS PAC ID: 7810381928 Enrollment ID: I20220304001881 |
| Provider Name | Madison Bailey Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841946480 PECOS PAC ID: 4981098902 Enrollment ID: I20220308000876 |
| Provider Name | Alyna Rose Ohanian |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205575032 PECOS PAC ID: 8123407160 Enrollment ID: I20220621003004 |
| Provider Name | John Spencer Gilmer |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1477172716 PECOS PAC ID: 4880052893 Enrollment ID: I20230623001409 |
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