Cascade Prosthetics and Orthotics, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

CASCADE PROSTHETICS AND ORTHOTICS, INC.

Practice address

17670 Dunbar Rd
Mount Vernon, WA 98273-8752

Phone

(360) 428-4003

Fax

(360) 428-7072

NPI assigned

Nov 9, 2006

Organization subpart

Yes

Parent organization

CASCADE PROSTHETICS AND ORTHOTICS, INC.As reported in NPPES

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

Authorized official

Name

Mr. William R. Weymer

Title

Ceo

Phone

(360) 384-1858

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Cascade Prosthetics and Orthotics Inc

  • Prosthetic/Orthotic Supplier
  • Ferndale, WA
  • NPI 1346228699

  6901924224

  Same PAC ID

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

Medicare medical equipment & supply locations

Tax ID family

Cascade Prosth Ortho2 organizations share this tax ID, including this one

Part of

Cascade Prosth Ortho

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Cascade Prosthetics and Orthotics Inc

  • Prosthetic/Orthotic Supplier
  • Ferndale, WA
  • NPI 1346228699
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Cascade Prosthetics and Orthotics Inc

  • Prosthetic/Orthotic Supplier
  • Ferndale, WA
  • NPI 1346228699
  NPPES parent name

Practitioners 1

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

• Kyrylo Kirieiev, LCPO

  • Orthotist
  • Ferndale, WA
  • NPI 1619806056
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186358400000",
    "number": "1366512949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 SUNSET AVE",
            "city": "FERNDALE",
            "state": "WA",
            "postal_code": "982488913",
            "telephone_number": "360-384-1858",
            "fax_number": "360-384-1927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17670 DUNBAR RD",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982738752",
            "telephone_number": "360-428-4003",
            "fax_number": "360-428-7072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE PROSTHETICS AND ORTHOTICS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CASCADE PROSTHETICS AND ORTHOTICS, INC.",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-08-06",
        "status": "A",
        "authorized_official_last_name": "WEYMER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "360-384-1858",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "066332",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LABOR & INDUSTRIES",
            "identifier": "18028",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9497900",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cascade Facial Surgery and Aesthetics
• Cascade Imaging Associates L.L.C.
• Cascade Living Group
• Cascade Medical Group PS Inc
• Cascade Neurologic Clinic, Inc, P.S.
• Casey J. Andrus, O.D., PLLC
• Anna Marie Casillas, ARNP
• Nicole Casper
• Alexander Castiello, MD
• Mariel Castillo, MD

• Prosthetic/Orthotic Supplier in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Prosthetic/Orthotic Supplier in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; 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.