Tri-City Regional Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

601722394 Issued in WA

Legal business name

TRI-CITY REGIONAL SURGERY CENTER LLC

Practice address

1096 Goethals Dr
Richland, WA 99352

Phone

(509) 943-9700

Fax

(509) 943-1503

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Donald Wayne Anderson Jr.

Title

Assistant Secretary for Enrollment

Phone

(425) 358-9786

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Listed as

Tri City Regional Surgery Center LLCCCN 50C0001149

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 2

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

• Kadlec Regional Medical Center

  • Ambulatory Surgical Clinic/Center
  • Richland, WA
  • NPI 1275071789

  Member Of

  NPD member
• Proliance Surgeons Inc., P.S.

  • Surgery Physician
  • Issaquah, WA
  • NPI 1639118649

  Member Of

  NPD member

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth Dominique Miller, PA-C

  • Surgical Physician Assistant
  • Richland, WA
  • NPI 1275868572
  NPD (past)
• Timothy Robert Nickolaus, PA

  • Medical Physician Assistant
  • Richland, WA
  • NPI 1518250554
  NPD (past)
• Terry Lee Wigley, MD

  • Otolaryngology Physician
  • Pasco, WA
  • NPI 1942202635
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762905600000",
    "number": "1053418137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31001-4207",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91110",
            "telephone_number": "509-943-9700",
            "fax_number": "509-943-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1096 GOETHALS DR",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "99352",
            "telephone_number": "509-943-9700",
            "fax_number": "509-943-1503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CITY REGIONAL SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY FOR ENROLLMENT",
        "authorized_official_telephone_number": "425-358-9786",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WA",
            "license": "601722394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tri-City Dermatology PLLC
• Tri-City Eyes
• Tri-City Heart Centre, Inc
• Tri-City Orthodontics
• Tri-City Orthodontics, LLC
• Tricities Podiatry PLLC
• David Ralph Trinidad, ARNP-C
• Tripoint Counseling, PLLC
• Thomas C Trotta, MD
• Alexander Charles Trowbridge, DPT

• Ambulatory Surgical Clinic/Center in Richland, WA
• Providers in Richland, 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 Nov 12, 2025; 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.