Disruption Healthcare PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DISRUPTION HEALTHCARE PLLC

Doing business as

Complex Care Center PLLC

Practice address

969 Stevens Dr Ste 3a
Richland, WA 99352-3558

Phone

(509) 713-1315

NPI assigned

Dec 19, 2023

Last updated

Apr 16, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joseph Gaytan

Title

Revenue Cycle Manager

Phone

(509) 713-1315

Specialties & licenses 1

Addresses

Other names 1

• Complex Care Center PLLC Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 8

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.

• Jeffrey Todd Allgaier, MD

  • Addiction Medicine (Family Medicine) Physician
  • Richland, WA
  • NPI 1659300374
  Medicare reassignment Care Compare group NPD
• Dena Bennett, APRN

  • Nurse Practitioner
  • Spokane Valley, WA
  • NPI 1629814413
  Medicare reassignment Care Compare group NPD
• Audrianna Demars, NP

  • Family Nurse Practitioner
  • Spokane, WA
  • NPI 1639933989
  Medicare reassignment Care Compare group NPD
• David William Jones, MD

  • Family Medicine Physician
  • Pasco, WA
  • NPI 1912953860
  Medicare reassignment Care Compare group NPD
• Thomas Paul Luedeke, ARNP

  • Family Nurse Practitioner
  • Richland, WA
  • NPI 1760226211
  Medicare reassignment Care Compare group NPD
• Chadwick Jay Perry, PA C

  • Physician Assistant
  • Richland, WA
  • NPI 1093902413
  Medicare reassignment Care Compare group NPD
• Chaunce Ruff, PA-C

  • Medical Physician Assistant
  • Richland, WA
  • NPI 1225113186
  Medicare reassignment Care Compare group NPD
• Katherine Elizabeth Hill, ARNP

  • Family Nurse Practitioner
  • Kennewick, WA
  • NPI 1720718992
  Medicare reassignment NPD

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1316715295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 STEVENS DR STE 3A",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523558",
            "telephone_number": "509-713-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 STEVENS DR STE 3A",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523558",
            "telephone_number": "509-713-1315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "969 Stevens Dr Ste 1C",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "WA",
            "postal_code": "993523557",
            "country_code": "US",
            "telephone_number": "509-713-1315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DISRUPTION HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-19",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "GAYTAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "509-713-1315"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Complex Care Center PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Complex Care Center PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth A. Dick, ARNP
• David L Dickerman, M.D.
• Philip Murray Dickinson
• Zaid Mohammed Diken, M.D.
• Thomas L Dillon, M.D.
• William Joseph Dituri
• Doctors Pharmacy, LLC
• Doctors Pharmacy, LLC
• Doctors Tele Pharmacy of Washington 01 LLC (Doctors Telepharmacy of Washington)
• Paul E Dodson, D.C.

• Family Medicine Physician in Richland, WA
• Providers in Richland, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.