Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1831296177 Individual Practitioner Female Practitioner

Dr. Deborah Ann Icenogle , MD

Pediatrics • Spokane, WA

Professional Overview & Biography Verified Profile Summary

Dr. Deborah Icenogle, MD is a registered healthcare professional specializing in Pediatrics in Spokane, WA. Practice services are available at 5011 W LOWELL AVE STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5011 W Lowell Ave Ste 100

Spokane, WA 992088587

Telephone 5092991958
Fax 5092991070
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Spokane, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.8 Yrs
State Avg: 18.8 Yrs
Regional Practice Density
80 Specialists

Practicing in Spokane, WA (1802 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License WA MD00028918

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

General Practice

NUCC Taxonomy Code: 208D00000X

State License WA MD00028918

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1120765 (WA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1902884869

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2022

General Practice (License #MD00028918 in WA)

NPI Profile Active May 16, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 16, 2017

Registered at 5011 W LOWELL AVE STE 100, SPOKANE, WA 992088587 (Tel: 5092991958)

📍
Updated Business Mailing Address May 16, 2017

Registered at PO BOX 421, LIBERTY LAKE, WA 990190421 (Tel: (509) 385-0610)

👤
Provider Name / Credentials Updated May 16, 2017

Recorded as DEBORAH ICENOGLE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2017

Pediatrics (License #MD00028918 in WA)

NPI Profile Active June 24, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location June 24, 2010

Registered at 2320 SALNAVE RD, LAKELAND VILLAGE, MEDICAL LAKE, WA 99022 (Tel: 5092991958)

📍
Updated Business Mailing Address June 24, 2010

Registered at 3415 W HORIZON AVE, SPOKANE, WA 992088493 (Tel: 5094651107)

👤
Provider Name / Credentials Updated June 24, 2010

Recorded as DEBORAH ICENOGLE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2010

General Practice (License #MD00028918 in WA)

🟢
Initial NPI Registration & Enumeration September 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1831296177
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 20, 2006
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

Po Box 421

Liberty Lake, WA 990190421

Phone: 5093850610

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.