Mid-Columbia Surgical Specialists

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

MID-COLUMBIA SURGICAL SPECIALISTS

Practice address

1810 E 19TH St Ste 225
The Dalles, OR 97058-3388

Phone

(541) 296-6101

Fax

(541) 296-0025

NPI assigned

Nov 14, 2006

Last updated

Apr 7, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kari Gutzler

Title

Administrator

Phone

(541) 296-6101

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428364800000",
    "number": "1578635660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 E 19TH ST STE 225",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970583388",
            "telephone_number": "541-296-6101",
            "fax_number": "541-296-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 E 19TH ST STE 225",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970583388",
            "telephone_number": "541-296-6101",
            "fax_number": "541-296-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-COLUMBIA SURGICAL SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2015-04-07",
        "status": "A",
        "authorized_official_last_name": "GUTZLER",
        "authorized_official_first_name": "KARI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "541-296-6101"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7023476",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "198150",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mid-Columbia Medical Center (Adventist Health Columbia Gorge)
• Mid-Columbia Medical Center (Adventist Health Columbia Gorge)
• Mid-Columbia Medical Center (Adventist Health Columbia Gorge)
• Mid-Columbia Medical Center (Adventist Health Columbia Gorge)
• Mid-Columbia Medical Center (Adventist Health Columbia Gorge)
• Karren Lavonne Middleton, RN
• Allison Miles, RDH
• Andrew Miles
• Alyssa B Miller
• Charles P Miller, MD

• Surgery Physician in The Dalles, OR
• Providers in The Dalles, OR by specialty
• Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; 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.