Cascade Neurologic Clinic, Inc, P.S.

Primary specialty

SpecialistTaxonomy code 174400000X

License

600182628 Issued in WA

Legal business name

CASCADE NEUROLOGIC CLINIC, INC, P.S.

Practice address

1315 East Division St.
Mt. Vernon, WA 98274

Phone

(360) 424-8951

Fax

(360) 424-8953

NPI assigned

May 4, 2007

Organization subpart

No

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

Authorized official

Name

Sharon S. Elliott

Title

Office Manager

Phone

(360) 424-8952

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220486400000",
    "number": "1194937037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 EAST DIVISION ST.",
            "city": "MT. VERNON",
            "state": "WA",
            "postal_code": "98274",
            "telephone_number": "360-424-8951",
            "fax_number": "360-424-8953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 EAST DIVISION ST.",
            "city": "MT. VERNON",
            "state": "WA",
            "postal_code": "98274",
            "telephone_number": "360-424-8951",
            "fax_number": "360-424-8953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE NEUROLOGIC CLINIC, INC, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2008-09-04",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "360-424-8952"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "600182628",
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "WA",
            "license": "600182628",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cascade Clinic Walk in and Primary Care LLC
• Cascade Facial Surgery and Aesthetics
• Cascade Imaging Associates L.L.C.
• Cascade Living Group
• Cascade Medical Group PS Inc
• Cascade Prosthetics and Orthotics, Inc.
• Casey J. Andrus, O.D., PLLC
• Anna Marie Casillas, ARNP
• Nicole Casper
• Alexander Castiello, MD

• Specialist in Mt. Vernon, WA
• Providers in Mt. Vernon, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.