Individual provider Active NPI

Cynthia Lynn Rasch, MD

  • Internal Medicine Physician
  • Walla Walla, WA
National Provider Identifier
1124075841
Registry record updated Apr 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD00031582 Issued in WA
Practice address
401 W Poplar St
Psmpg Hospitalists
Walla Walla, WA 99362-2846
Phone
(509) 525-3320
Fax
(509) 522-5184
NPI assigned
May 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD00031582 WA Primary

Addresses

Primary practice location

401 W Poplar St
Psmpg Hospitalists
Walla Walla, WA 99362-2846

Mailing address

PO Box 34439
Seattle, WA 98124-1439

Other identifiers 2

IdentifierTypeStateIssuer
241284MedicaidOR
1124075841MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170417001241 OR Practitioner - HospitalistPractitioner - Internal Medicine 3971565235 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00031582WAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Commonspirit Oregon CurrentSince Jul 16, 2019 Accepting new patients
Apogee Medical Group PC Internal Medicine Current Accepting new patients
Commonspirit Oregon Current Accepting new patients
Apogee Medical Group PC Internal Medicine CurrentSince Mar 15, 2017 Accepting new patients
Apogee Medical Group PC Internal Medicine CurrentSince Mar 15, 2017 Accepting new patients
Commonspirit Oregon CurrentSince Jul 16, 2019 Accepting new patients
Northwest Hospital Medicine Physicians LLC Internal Medicine Past Accepting new patients

Locations

2111 Exchange St
Astoria, OR 97103
Phone (503) 325-4321

1111 Crater Lake Ave
Medford, OR 97504
Phone (541) 732-5250

2801 St Anthony Way
Pendleton, OR 97801
Phone (541) 276-5121

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334102400000",
    "number": "1124075841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34439",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W POPLAR ST",
            "address_2": "PSMPG HOSPITALISTS",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622846",
            "telephone_number": "509-525-3320",
            "fax_number": "509-522-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASCH",
        "first_name": "CYNTHIA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-28",
        "last_updated": "2012-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00031582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "241284",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124075841",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walla Walla, WA

Sources for this page

Verify at the official NPI Registry.