Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Christopher John Pannucci, MD

Individual provider Plastic Surgery Physician · NPI 1083737738

Christopher John Pannucci, MD is a Plastic and Reconstructive Surgery in Spokane, Washington. Graduated from Washington University School of Medicine in 2005, 21 years ago. Practices with Plastic Surgery Northwest PLLC, a 9-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah and Washington.

Years since qualifying
21
Trained at
Washington University School of Medicine
Licensed in
UT, WA
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

820 S McClellan St Ste 200
Spokane, WA 99204-2456
Phone: (509) 838-7100
Fax: (509) 227-7070
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 50 N Medical Dr, Salt Lake City, UT 84132-0001 — (801) 581-7719

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence MD60974739 (WA)
Plastic Surgery Physician Taxonomy 208200000X · Licence 8911101-1205 (UT)
Plastic and Reconstructive Surgery Physician Taxonomy 2086S0122X · Licence 8911101-1205 (UT)

Record details

NPI number1083737738
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 9, 2007
Last updated in NPPESSeptember 14, 2021
Certification dateSeptember 14, 2021
Mailing addressPo Box 421, Liberty Lake, WA 99019-0421

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolWASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Plastic Surgery Northwest Pllc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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