NPIMap

Organization Active NPI

Columbia Surgical Specialists, PLLC

Doing business as Columbia Vein Center

  • Surgery Physician
  • Vancouver, WA
National Provider Identifier
1184780884
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
COLUMBIA SURGICAL SPECIALISTS, PLLC
Doing business as
Columbia Vein Center
Practice address
8614 E Mill Plain Blvd
Suite 201
Vancouver, WA 98664-2059
Phone
(360) 254-9991
Fax
(360) 254-9997
NPI assigned
Dec 28, 2006
Last updated
Jan 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

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

Authorized official

Name
Dr. Chauncey Theodore Griggs, M.D.NPI 1811074487
Title
Co-Manager
Phone
(360) 254-9991

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 WA Primary

Addresses

Primary practice location

8614 E Mill Plain Blvd
Suite 201
Vancouver, WA 98664-2059

Mailing address

8614 E Mill Plain Blvd
Suite 201
Vancouver, WA 98664-2059
Phone (360) 254-9991

Other identifiers 3

IdentifierTypeStateIssuer
7119373MedicaidWA
DA6965OtherWARAILROAD MEDICARE
715606OtherWALABOR AND INDUSTRY GROUP

Other names 1

  • Columbia Vein Center Doing business as

National Provider Directory

National Provider Directory

Locations

8614 E Mill Plain Blvd
Ste 201
Vancouver, WA 98664
Phone (360) 254-9991

Practitioners & affiliated clinicians

Practitioners 5

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": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200614400000",
    "number": "1184780884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 E MILL PLAIN BLVD",
            "address_2": "SUITE 201",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986642059",
            "telephone_number": "360-254-9991",
            "fax_number": "360-254-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8614 E MILL PLAIN BLVD",
            "address_2": "SUITE 201",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986642059",
            "telephone_number": "360-254-9991",
            "fax_number": "360-254-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA SURGICAL SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2008-01-18",
        "status": "A",
        "authorized_official_last_name": "GRIGGS",
        "authorized_official_first_name": "CHAUNCEY",
        "authorized_official_middle_name": "THEODORE",
        "authorized_official_title_or_position": "CO-MANAGER",
        "authorized_official_telephone_number": "360-254-9991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7119373",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA6965",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRY GROUP",
            "identifier": "715606",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbia Vein Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; 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.