NPIMap

Organization Active NPI

Cascade Hernia and Surgical Solutions PS

  • Surgery Physician
  • Puyallup, WA
National Provider Identifier
1174725402
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
CASCADE HERNIA AND SURGICAL SOLUTIONS PS
Practice address
208 17TH Ave SE
Ste 201
Puyallup, WA 98372-4515
Phone
(253) 840-1999
NPI assigned
May 31, 2007
Last updated
Jan 30, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

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

Authorized official

Name
Robert Charles Wright, MD FACSNPI 1649346347
Title
President
Phone
(253) 840-1999

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
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

208 17TH Ave SE
Ste 201
Puyallup, WA 98372-4515

Mailing address

208 17TH Ave SE
Ste 201
Puyallup, WA 98372-4515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070702000417 WA Part B Supplier - Clinic/Group Practice 3577663665 Receives reassigned benefits from 15 practitioners
Practice locations: Puyallup, WA; Tacoma, WA
O20161019000318 WA DME Supplier - Physician - General Surgery 3577663665 Practice locations: Puyallup, WA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548806400000",
    "number": "1174725402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 17TH AVE SE",
            "address_2": "STE 201",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983724515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 17TH AVE SE",
            "address_2": "STE 201",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983724515",
            "telephone_number": "253-840-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE HERNIA AND SURGICAL SOLUTIONS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2019-01-30",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-840-1999",
        "authorized_official_credential": "MD FACS"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.