Cascade Medical Group, LLC

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

Legal business name

CASCADE MEDICAL GROUP, LLC

Practice address

1253 N Canal Blvd.
Redmond, OR 97756-0400

Phone

(541) 516-3866

Fax

(541) 516-3877

NPI assigned

Sep 29, 2006

Organization subpart

No

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

Authorized official

Name

Karen M Shepard

Title

Chief Financial Officer

Phone

(541) 706-3708

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Cascade Professional Business Services, LLC Former legal business name

Locations

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281571200000",
    "number": "1083706436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1420",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977560400",
            "telephone_number": "541-516-3866",
            "fax_number": "541-516-3877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1253 N CANAL BLVD.",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977560400",
            "telephone_number": "541-516-3866",
            "fax_number": "541-516-3877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2010-08-12",
        "status": "A",
        "authorized_official_last_name": "SHEPARD",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "541-706-3708"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274089",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cascade Professional Business Services, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Cascade Healthcare Community Inc
• Cascade Medical Clinic, PC
• Cascade Medical Imaging LLC
• Cascade Medical Imaging LLC
• Cascade Medical Imaging LLC
• Cascade Medical Transport of Oregon LLC
• Cascade Professional Business Service

• Critical Care Medicine (Internal Medicine) Physician in Redmond, OR
• Providers in Redmond, OR by specialty
• Critical Care Medicine (Internal Medicine) Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.