High Desert Surgery Center, L.L.C.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

602776306 Issued in WA

Legal business name

HIGH DESERT SURGERY CENTER, L.L.C.

Practice address

521 N Young St
Kennewick, WA 99336-7806

Phone

(509) 586-2828

Fax

(509) 586-2525

NPI assigned

Nov 7, 2007

Last updated

Apr 19, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennae Wilson

Title

Office Manager

Phone

(509) 736-2770

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Listed as

High Desert Surgery Center LLCCCN 50C0001281

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• RCCH Trios Health LLC

  • Internal Medicine Physician
  • Kennewick, WA
  • NPI 1831682806

  Member Of

  NPD member

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen M Dechter, DO

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Pasco, WA
  • NPI 1568635365
  NPD (past)
• David Fischer, M.D.

  • Orthopaedic Hand Surgery Physician
  • Kennewick, WA
  • NPI 1881636009
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650326400000",
    "number": "1033399084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 N YOUNG ST STE 100",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367806",
            "telephone_number": "509-736-2770",
            "fax_number": "509-736-2771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 N YOUNG ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367806",
            "telephone_number": "509-586-2828",
            "fax_number": "509-586-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH DESERT SURGERY CENTER, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JENNAE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "509-736-2770"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WA",
            "license": "602776306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE LABOR & INDUSTRIES",
            "identifier": "240038",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7144918",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caren S Hiatt, L.M.P.
• Kristen Hicks
• Tracie Annette Hicks, LMHC
• Nicholas Higgins
• Owen M Higgs, MD
• Brittany Joy Hilker, MSW, LICSWA
• Ashley Dawn Hill
• Katherine Elizabeth Hill, ARNP
• Kurtis K Hill, O.D.
• Jacob R Hillyard, PT

• Ambulatory Surgical Clinic/Center in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Ambulatory Surgical Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.