NPIMap

Organization Active NPI

Columbia Basin Neurosurgery PS

  • Neurological Surgery Physician
  • Richland, WA
National Provider Identifier
1114995933
Registry record updated Oct 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD00041443 Issued in WA
Legal business name
COLUMBIA BASIN NEUROSURGERY PS
Practice address
800 Swift Blvd
Ste 240
Richland, WA 99352-3549
Phone
(509) 946-4708
NPI assigned
Mar 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2007

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

Authorized official

Name
Thornton Thomas Wilkinson I, MDNPI 1164490694
Title
President
Phone
(509) 946-4708

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X MD00041443 WA Primary

Addresses

Primary practice location

800 Swift Blvd
Ste 240
Richland, WA 99352-3549

Mailing address

PO Box 1663
Walla Walla, WA 99362-0031
Phone (509) 529-1284

National Provider Directory

National Provider Directory

Locations

800 Swift Blvd
Ste 240
Richland, WA 99352
Phone (509) 943-9492

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192838400000",
    "number": "1114995933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1663",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993620031",
            "telephone_number": "509-529-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SWIFT BLVD",
            "address_2": "STE 240",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523549",
            "telephone_number": "509-946-4708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA BASIN NEUROSURGERY PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-08",
        "last_updated": "2007-10-20",
        "status": "A",
        "authorized_official_last_name": "WILKINSON",
        "authorized_official_first_name": "THORNTON",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-946-4708",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "WA",
            "license": "MD00041443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2007; 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.