Active NPI
Cascade Anesthesia & Pain
- Pain Medicine Physician
- Vancouver, WA
National Provider Identifier
1306864236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 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 DirectoryLocations
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.