Tri-City Neurology, Inc.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

MD00033734 Issued in WA

Legal business name

TRI-CITY NEUROLOGY, INC.

Practice address

7211 W Deschutes Ave Ste D201
Kennewick, WA 99336-7715

Phone

(509) 586-5700

Fax

(509) 585-5945

NPI assigned

Nov 8, 2007

Organization subpart

No

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

Authorized official

Name

Linda M Stroben

Title

Practice Administrator

Phone

(509) 586-5700

Specialties & licenses 1

Addresses

Other identifiers 5

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

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

• Paulo J Cancado, M.D.

  • Neurology Physician
  • Kennewick, WA
  • NPI 1902891104
  Medicare reassignment NPD

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1457531303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7211 W DESCHUTES AVE STE D201",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367715",
            "telephone_number": "509-586-5700",
            "fax_number": "509-585-5945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7211 W DESCHUTES AVE STE D201",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367715",
            "telephone_number": "509-586-5700",
            "fax_number": "509-585-5945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CITY NEUROLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A",
        "authorized_official_last_name": "STROBEN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "509-586-5700"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": "MD00033734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1116714",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I CRIME VICTIMS",
            "identifier": "8936953",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL L&I",
            "identifier": "349208400",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "130024998",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I STATE",
            "identifier": "160721",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tricityenurology@248.direct.myezyaccess.com",
            "affiliation": "N",
            "endpointDescription": "Paulo Cancado, MD",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7211 W Deschutes Ave Ste D201",
            "city": "Kennewick",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993367715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tri-Cities Laboratory, LLC
• Tri-Cities Primary Care
• Tri-Cities Regenerative Institute
• Tri-Cities Vision Center
• Tri-City Derm Management Inc.
• Tri-City Orthopaedic Clinic P S C (The Surgery Center at TCO (Kennewick))
• Tri-City Orthopaedic Clinic, P S C
• Tri-City Orthopaedic Clinic, P S C
• Tri-City Spine and Sport
• Tricity Injury Clinic PLLC

• Neurology Physician in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Neurology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.