OrganizationActive
Spokane Ent Clinic Mayfair
NPI 1033154273 · Non-Pharmacy Dispensing Site · Spokane, WA
Spokane Ent Clinic Mayfair is a Non-Pharmacy Dispensing Site organization in Spokane, WA (NPI 1033154273).
Provider details
- NPI number
- 1033154273
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- Direndia Shackelford, Managed Care Specialist(800) 654-0889
- License
- MD00019284 (WA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5901 N Mayfair St
Spokane, WA 99208-5096
Phone: (509) 489-3514
Fax: (509) 483-2546
Street-level locationGet directions
Mailing address
5901 N Mayfair St
Spokane, WA 99208-5096
Other names (DBA / former)
- Doing business as
- Jan S Connelly MD
Registry dates
- Enumerated
- 2006-06-20
- Last updated
- 2020-08-22
Frequently asked questions
- What is Spokane Ent Clinic Mayfair's NPI number?
- Spokane Ent Clinic Mayfair's National Provider Identifier (NPI) is 1033154273, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Spokane Ent Clinic Mayfair?
- Spokane Ent Clinic Mayfair is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Spokane Ent Clinic Mayfair located?
- Spokane Ent Clinic Mayfair's practice location on file with NPPES is 5901 N Mayfair St, Spokane, WA 99208-5096.
- What is Spokane Ent Clinic Mayfair's phone number?
- The practice phone number listed in the NPPES registry for Spokane Ent Clinic Mayfair is (509) 489-3514.
- Who is the authorized official for Spokane Ent Clinic Mayfair?
- The authorized official listed on Spokane Ent Clinic Mayfair's NPPES record is Direndia Shackelford, Managed Care Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Spokane Ent Clinic Mayfair's NPI active?
- Yes — Spokane Ent Clinic Mayfair's NPI (1033154273) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.