Organization Active NPI

Cascade Vascular Associates PS

  • Vascular Surgery Physician
  • Tacoma, WA
National Provider Identifier
1144346420
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
CASCADE VASCULAR ASSOCIATES PS
Practice address
1802 S Yakima Ave
Ste 204a
Tacoma, WA 98405
Phone
(253) 383-3325
Fax
(253) 572-7875
NPI assigned
Mar 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Therese F Lewis
Title
Business Office Manager
Phone
(253) 627-4650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X WA Primary

Addresses

Primary practice location

1802 S Yakima Ave
Ste 204a
Tacoma, WA 98405

Mailing address

1802 S Yakima Ave
Ste 204a
Tacoma, WA 98405
Phone (253) 383-3325

Other identifiers 1

IdentifierTypeStateIssuer
7043979MedicaidWA

National Provider Directory

National Provider Directory

Locations

4700 Point Fosdick Dr
Ste 309
Gig Harbor, WA 98335
Phone (253) 857-8346

1802 Yakima Ave
Ste 204A
Tacoma, WA 98405
Phone (253) 383-3325

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144346420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 S YAKIMA AVE",
            "address_2": "STE 204A",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98405",
            "telephone_number": "253-383-3325",
            "fax_number": "253-779-0796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 S YAKIMA AVE",
            "address_2": "STE 204A",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98405",
            "telephone_number": "253-383-3325",
            "fax_number": "253-572-7875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE VASCULAR ASSOCIATES PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "THERESE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "253-627-4650"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7043979",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.