Active NPI
Cascade Vascular Associates PS
- Vascular Surgery Physician
- Tacoma, WA
National Provider Identifier
1144346420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7043979 | Medicaid | WA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Vascular Surgery Physician
- Tacoma, WA
- NPI 1295755908
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.