NORTHSIDE INTERNAL MEDICINE ASSOCIATES PS – NPI #1114966769
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

NORTHSIDE INTERNAL MEDICINE ASSOCIATES PS is a provider located in SPOKANE, WA. NPPES has assigned the NPI number 1114966769 to NORTHSIDE INTERNAL MEDICINE ASSOCIATES PS on June 06, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was previously updated about 16 years ago on Dec 18, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NORTHSIDE INTERNAL MEDICINE ASSOCIATES PS below.

NPI Profile for
NORTHSIDE INTERNAL MEDICINE ASSOCIATES PS

NPI Number
1114966769
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NORTHSIDE INTERNAL MEDICINE ASSOCIATES PS
Primary location
6120 N MAYFAIR
SPOKANE, WA 99208
Phone: (509) 489-7483 Fax: (509) 489-4572
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TIMOTHY GARDNER
PRESIDENT
Phone: (509) 489-7483
Updated
Identifiers

Identifiers for NORTHSIDE INTERNAL MEDICINE ASSOCIATES PS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDWA7300015
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207R00000X
- Internal Medicine (Primary)
207RE0101X
- Internal Medicine / Endocrinology, Diabetes & Metabolism

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.