Columbia Basin Cardiology PLLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

COLUMBIA BASIN CARDIOLOGY PLLC

Practice address

945 Stevens Dr
Richland, WA 99352-3508

Phone

(509) 943-2781

Fax

(509) 946-8590

NPI assigned

Jul 31, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Christopher Kevin Ravage, MD

Title

Owner MGR of PLLC

Phone

(509) 943-2781

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403136000000",
    "number": "1093721409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 STEVENS DR",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523508",
            "telephone_number": "509-943-2781",
            "fax_number": "509-946-8590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 STEVENS DR",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523508",
            "telephone_number": "509-943-2781",
            "fax_number": "509-946-8590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA BASIN CARDIOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2014-06-19",
        "status": "A",
        "authorized_official_last_name": "RAVAGE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER MGR OF PLLC",
        "authorized_official_telephone_number": "509-943-2781",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104561",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060050067",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "239010",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maisha Star Cole
• Minette Sharon Cole, PT, DPT, CF-L1
• Collette & Hamilton PLLC
• Collette and Hamilton DDS PLLC (Dentistry for Kids of Richland)
• Shelli Lynn Collingham, MD
• Columbia Basin Chiropractic, PLLC
• Columbia Basin Imaging PC
• Columbia Basin Imaging PC
• Columbia Basin Imaging PC
• Columbia Basin Imaging PC

• Cardiovascular Disease Physician in Richland, WA
• Providers in Richland, WA by specialty
• Cardiovascular Disease Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; 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.