NPIMap

Organization Active NPI

Cascade Hernia and Surgical Solutions PS

Doing business as Meridian Surgical Services

  • Surgery Physician
  • Puyallup, WA
National Provider Identifier
1477616936
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
FX00057051 Issued in WA
Legal business name
CASCADE HERNIA AND SURGICAL SOLUTIONS PS
Doing business as
Meridian Surgical Services
Practice address
208 17TH Ave SE
Suite 201
Puyallup, WA 98372-4515
Phone
(253) 840-1999
Fax
(253) 445-4125
NPI assigned
Dec 18, 2006
Last updated
Feb 26, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

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

Authorized official

Name
Robert C Wright, MD FACSNPI 1649346347
Title
President
Phone
(253) 840-1999

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
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X FX00057051 WA Primary

Addresses

Primary practice location

208 17TH Ave SE
Suite 201
Puyallup, WA 98372-4515

Mailing address

208 17TH Ave SE
Suite 201
Puyallup, WA 98372-4515
Phone (253) 840-1999

Other identifiers 1

IdentifierTypeStateIssuer
5353MEOtherWAREGENCE BLUE SHIELD

Other names 1

  • Meridian Surgical Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070710000562 WA Part B Supplier - Ambulatory Surgical Center 3577663665 Practice locations: Puyallup, WA

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Meridian Surgery CenterCCN 50C0001204
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

208 17th Ave SE
Ste 202
Puyallup, WA 98372
Phone (360) 825-4466

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582675200000",
    "number": "1477616936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 17TH AVE SE",
            "address_2": "SUITE 201",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983724515",
            "telephone_number": "253-840-1999",
            "fax_number": "253-445-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 17TH AVE SE",
            "address_2": "SUITE 201",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983724515",
            "telephone_number": "253-840-1999",
            "fax_number": "253-445-4125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE HERNIA AND SURGICAL SOLUTIONS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-840-1999",
        "authorized_official_credential": "MD FACS"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "WA",
            "license": "FX00057051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "5353ME",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meridian Surgical Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Meridian Surgical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.