NPIMap

Organization Active NPI

Comprehensive Interventional Care Centers, PLLC

Doing business as Comprehensive Interventional Care Centers, PLLC - Portland

  • Vascular & Interventional Radiology Physician
  • Portland, OR
National Provider Identifier
1194282400
Registry record updated Feb 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC
Doing business as
Comprehensive Interventional Care Centers, PLLC - Portland
Practice address
6958 SW Varns St
Portland, OR 97223-0000
Phone
(503) 683-7730
Fax
(503) 914-0927
NPI assigned
Feb 22, 2019
Organization subpart
Yes
Parent organization
COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 22, 2019

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

Authorized official

Name
Joel R. Rainwater, MDNPI 1518956499
Title
President
Phone
(480) 374-7354

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
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X Primary

Addresses

Primary practice location

6958 SW Varns St
Portland, OR 97223-0000

Mailing address

4001 E Baseline Rd Ste 107
Gilbert, AZ 85234-2744
Phone (480) 374-7354

Other names 1

  • Comprehensive Interventional Care Centers, PLLC - Portland Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Comp Int Care CTRS PLLC4 organizations share this tax ID, including this one
Part of
Comp Int Care CTRS PLLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6958 SW Varns St
Portland, OR 97223
Phone (503) 683-7730

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GDAHCA

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550793600000",
    "number": "1194282400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 E BASELINE RD STE 107",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342744",
            "telephone_number": "480-374-7354",
            "fax_number": "480-371-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6958 SW VARNS ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972230000",
            "telephone_number": "503-683-7730",
            "fax_number": "503-914-0927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC",
        "enumeration_date": "2019-02-22",
        "last_updated": "2019-02-22",
        "status": "A",
        "authorized_official_last_name": "RAINWATER",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-374-7354",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive Interventional Care Centers, PLLC - Portland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; 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.