Active NPI
Stuart Cardon
- Ambulatory Surgical Clinic/Center
- Yakima, WA
National Provider Identifier
1376692129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- PO00000565
- Legal business name
- STUART CARDON
- Practice address
- 2400 Racquet LN
Yakima, WA 98902-6109 - Phone
- (509) 225-3668
- Fax
- (509) 225-3448
- NPI assigned
- Jan 10, 2007
- 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
- Carrie Marquez
- Title
- Billing and Credentialing
- Phone
- (509) 225-3668
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | PO00000565 | WA | Primary |
Addresses
Primary practice location
2400 Racquet LN
Yakima, WA 98902-6109
Mailing address
2400 Racquet LN
Yakima, WA 98902-6109
Phone (509) 225-3668
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7142219 | Medicaid | WA |
Other names 2
- Cascade Foot and Ankle PLLC
- Creekside Surgery Center
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Creekside Surgery Center
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D1096972 | Creekside Surgery Center | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryLocations
3919 Creekside Loop
Yakima, WA 98902
Phone (509) 225-1496
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot Surgery Podiatrist
- Yakima, WA
- NPI 1922443258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1588550400000",
"number": "1376692129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 RACQUET LN",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989026109",
"telephone_number": "509-225-3668",
"fax_number": "509-225-3448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 RACQUET LN",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989026109",
"telephone_number": "509-225-3668",
"fax_number": "509-225-3448"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STUART CARDON",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-10",
"last_updated": "2020-05-04",
"certification_date": "2020-05-04",
"status": "A",
"authorized_official_last_name": "MARQUEZ",
"authorized_official_first_name": "CARRIE",
"authorized_official_title_or_position": "BILLING AND CREDENTIALING",
"authorized_official_telephone_number": "509-225-3668"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "WA",
"license": "PO00000565",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7142219",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cascade Foot and Ankle PLLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Creekside Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.