Organization Active NPI

Cascade Family Medical Group, P.S.

  • Primary Care Clinic/Center
  • Arlington, WA
National Provider Identifier
1508820556
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CASCADE FAMILY MEDICAL GROUP, P.S.
Practice address
326 S Stillaguamish Ave
Arlington, WA 98223-1652
Phone
(360) 435-2144
Fax
(360) 435-9601
NPI assigned
Apr 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mark E Spencer, M.D.
Title
Owner/Physician
Phone
(360) 435-2144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X WA Primary

Addresses

Primary practice location

326 S Stillaguamish Ave
Arlington, WA 98223-1652

Mailing address

326 S Stillaguamish Ave
Arlington, WA 98223-1652
Phone (360) 435-2144

Other identifiers 2

IdentifierTypeStateIssuer
0080350OtherWALABOR & INDUSTRIES
7040884MedicaidWA

National Provider Directory

National Provider Directory

Locations

326 S Stillaguamish Ave
Arlington, WA 98223
Phone (360) 435-2144

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508820556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 S STILLAGUAMISH AVE",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982231652",
            "telephone_number": "360-435-2144",
            "fax_number": "360-435-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 S STILLAGUAMISH AVE",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982231652",
            "telephone_number": "360-435-2144",
            "fax_number": "360-435-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE FAMILY MEDICAL GROUP, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "360-435-2144",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0080350",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7040884",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.