Tri-City Orthopaedic Clinic P S C
A Medicare group practice based in Kennewick, WA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 7618866930), with 25 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 7618866930
- Provider type
- DME Supplier - Physician - Orthopedic/Orthopedic Surgery, Part B Supplier - Ambulatory Surgical Center, Part B Supplier - Clinic/Group Practice
- Enrolled in
- WA
- Enrollments
- 3
- Group size
- 18 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 4
Enrollment records 3
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040315000166 | WA | Part B Supplier - Clinic/Group Practice | 1215020144 |
| O20100930015850 | WA | DME Supplier - Physician - Orthopedic/Orthopedic Surgery | 1215020144 |
| O20140825002797 | WA | Part B Supplier - Ambulatory Surgical Center | 1720495708 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Tri-City Orthopaedic Clinic P S C
dba The Surgery Center at TCO (Kennewick)
- Ambulatory Surgical Clinic/Center
- Kennewick, WA
- NPI 1720495708
-
Tri-City Orthopaedic Clinic, P S C
- Orthopaedic Surgery Physician
- Kennewick, WA
- NPI 1215020144
Practice locations
- Kennewick, WA4
Clinicians 25
Clinicians who reassign their Medicare benefits to this group (25) or whom Care Compare lists as members (18).
-
Loren K Copeland, CRNA
- Certified Registered Nurse Anesthetist
- Kennewick, WA
- NPI 1699798983
-
Christine Theresa De Cejka
- Physician Assistant
- Richland, WA
- NPI 1164980108
-
Laurie Marie Duff, CRNA
- Certified Registered Nurse Anesthetist
- Omak, WA
- NPI 1356559280
-
Scott Delafield Evans, MD
- Orthopaedic Hand Surgery Physician
- Provo, UT
- NPI 1033435045
-
Judd R Fitzgerald, M.D.
- Sports Medicine (Orthopaedic Surgery) Physician
- Kennewick, WA
- NPI 1205125945
-
Randelle K Fuller, MPT
- Physical Therapist
- Kennewick, WA
- NPI 1023237120
-
Uel Dean Hansen, M.D.
- Orthopaedic Surgery Physician
- Kennewick, WA
- NPI 1538215447
-
Julie Ann Israelsen, PA-C
- Physician Assistant
- Kennewick, WA
- NPI 1275866139
-
Shayne Kelly, DO
- Orthopaedic Surgery Physician
- Kennewick, WA
- NPI 1841723582
-
Sheldon Liikala
- Physical Therapist
- Kennewick, WA
- NPI 1386316982
-
Brian J. Lloyd, RN, BSN, ARNP
- Family Nurse Practitioner
- Richland, WA
- NPI 1255768800
-
Molly Elizabeth London, DNP, ARNP
- Nurse Practitioner
- Pullman, WA
- NPI 1093843492
-
Eric B Lowe, PA-C
- Physician Assistant
- Kennewick, WA
- NPI 1205855574
-
Mark R Merrell, MD
- Orthopaedic Surgery Physician
- Kennewick, WA
- NPI 1275552531
-
Jessica Rose Murphy, ARNP
- Nurse Practitioner
- Kennewick, WA
- NPI 1740744952
-
Jacob E Nelson, PT
- Physical Therapist
- Kennewick, WA
- NPI 1154842136
-
Kevin Jun Nelson, DPT
- Physical Therapist
- Kennewick, WA
- NPI 1922664705
-
Brian D Nygard, CRNA
- Certified Registered Nurse Anesthetist
- Kennewick, WA
- NPI 1225659634
-
Johnathan R Perry, MD
- Orthopaedic Surgery Physician
- Kennewick, WA
- NPI 1467433706
-
Faustin R Stevens, MD
- Orthopaedic Foot and Ankle Surgery Physician
- Kennewick, WA
- NPI 1942400536
-
Julie A Taggares, OT
- Hand Occupational Therapist
- Richland, WA
- NPI 1811003445
-
Kelsie Lee Taylor, DPT
- Physical Therapist
- Richland, WA
- NPI 1336746700
-
Cathryn Joyce Vadala, M.D.
- Orthopaedic Hand Surgery Physician
- Kennewick, WA
- NPI 1205079365
-
Joseph I Webb, PA-C
- Physician Assistant
- Kennewick, WA
- NPI 1548411341
-
Richard L Withers, PA-C
- Physician Assistant
- Kennewick, WA
- NPI 1073813424
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.