Organization Active NPI

Cascade Medical Advantage

  • Addiction Medicine (Family Medicine) Physician
  • Bellingham, WA
National Provider Identifier
1336687987
Registry record updated Feb 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
MD00028884D Issued in WA
Legal business name
CASCADE MEDICAL ADVANTAGE
Practice address
800 E Chestnut St
Suite 3a
Bellingham, WA 98225-5241
Phone
(360) 734-2935
NPI assigned
Feb 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2017

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

Authorized official

Name
Adam Affron Kartman, MDNPI 1922043512
Title
Medical Director
Phone
(360) 734-2935

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0401X MD00028884D WA Primary

Addresses

Primary practice location

800 E Chestnut St
Suite 3a
Bellingham, WA 98225-5241

Mailing address

800 E Chestnut St
Suite 3a
Bellingham, WA 98225-5241
Phone (360) 734-2935

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241202001299 WA Part B Supplier - Clinic/Group Practice 7012442973 Receives reassigned benefits from 4 practitioners
Practice locations: Bellingham, WA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2127535Cascade Medical Advantage800 E Chestnut St Ste 3a, Bellingham, WA 98225Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486080000000",
    "number": "1336687987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E CHESTNUT ST",
            "address_2": "SUITE 3A",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982255241",
            "telephone_number": "360-734-2935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E CHESTNUT ST",
            "address_2": "SUITE 3A",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982255241",
            "telephone_number": "360-734-2935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE MEDICAL ADVANTAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-03",
        "last_updated": "2017-02-03",
        "status": "A",
        "authorized_official_last_name": "KARTMAN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "AFFRON",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "360-734-2935",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "WA",
            "license": "MD00028884D",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; 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.