NPIMap

Organization Active NPI

Rainier Springs Physician Group, LLC

  • Neurology Physician
  • Vancouver, WA
National Provider Identifier
1306321237
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
RAINIER SPRINGS PHYSICIAN GROUP, LLC
Practice address
2805 NE 129TH Street
Vancouver, WA 98686
Phone
(360) 356-1890
Fax
(360) 356-1891
NPI assigned
Sep 26, 2018
Last updated
May 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2020

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

Authorized official

Name
Greg Miller
Title
Evp, Cfo
Phone
(412) 588-3546

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X Primary
General Practice Physician 208D00000X

Addresses

Primary practice location

2805 NE 129TH Street
Vancouver, WA 98686

Mailing address

101 S 5TH St
Louisville, KY 40202-3157
Phone (360) 356-1890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181109001590 WA Part B Supplier - Clinic/Group Practice 0547514549 Receives reassigned benefits from 31 practitioners
Practice locations: Vancouver, WA

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 33

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 33

NPI Registry JSON

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589932800000",
    "number": "1306321237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S 5TH ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023157",
            "telephone_number": "360-356-1890",
            "fax_number": "360-356-1891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 NE 129TH STREET",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98686",
            "telephone_number": "360-356-1890",
            "fax_number": "360-356-1891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINIER SPRINGS PHYSICIAN GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-26",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "EVP, CFO",
        "authorized_official_telephone_number": "412-588-3546"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 20, 2020; 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.