Organization Active NPI

Cascade Anesthesia & Pain

  • Pain Medicine Physician
  • Vancouver, WA
National Provider Identifier
1306864236
Registry record updated Apr 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
CASCADE ANESTHESIA & PAIN
Practice address
13023 NE Highway 99
Vancouver, WA 98686-2767
Phone
(360) 696-5384
Fax
(360) 696-5445
NPI assigned
Jul 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2013

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

Authorized official

Name
John W Luckwitz, MD
Title
President
Phone
(801) 534-1360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

13023 NE Highway 99
Vancouver, WA 98686-2767

Mailing address

PO Box 27688
Salt Lake City, UT 84127-0688
Phone (801) 534-1360

National Provider Directory

National Provider Directory

Locations

3400 Main St
Vancouver, WA 98663
Phone (360) 696-5016

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364860800000",
    "number": "1306864236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27688",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270688",
            "telephone_number": "801-534-1360",
            "fax_number": "801-366-9883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13023 NE HIGHWAY 99",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986862767",
            "telephone_number": "360-696-5384",
            "fax_number": "360-696-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE ANESTHESIA & PAIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2013-04-02",
        "status": "A",
        "authorized_official_last_name": "LUCKWITZ",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-534-1360",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Apr 2, 2013; 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.