CSS JV, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CSS JV, LLC

Doing business as

Center for Specialty Surgery

Practice address

11782 SW Barnes Rd
#200
Portland, OR 97225-5914

Phone

(503) 906-4300

Fax

(503) 906-4333

NPI assigned

Aug 10, 2006

Last updated

Feb 2, 2009By 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

Tina Caster

Title

Executive Director

Phone

(503) 906-4306

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Center for Specialty Surgery Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Listed as

Center for Specialty Surgery LLCCCN 38C0001056

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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.

• McPherson Scott Beall III, MD

  • Orthopaedic Surgery Physician
  • Portland, OR
  • NPI 1518996388
  NPD
• Alexander Matthew Dehaan, M.D.

  • Orthopaedic Surgery Physician
  • Portland, OR
  • NPI 1114242005
  NPD (past)
• Edward J Lairson, MD

  • Physical Medicine & Rehabilitation Physician
  • Portland, OR
  • NPI 1588686422
  NPD (past)

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233532800000",
    "number": "1609887413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11782 SW BARNES RD",
            "address_2": "#200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255914",
            "telephone_number": "503-906-4300",
            "fax_number": "503-906-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11782 SW BARNES RD",
            "address_2": "#200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255914",
            "telephone_number": "503-906-4300",
            "fax_number": "503-906-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CSS JV, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2009-02-02",
        "status": "A",
        "authorized_official_last_name": "CASTER",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "503-906-4306"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274836",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Specialty Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Sarah Cruzan, RN
• Crybaby Counseling (Crybaby)
• Lynn Mary Crymes, PNP
• Laura J Cryst
• Brett Csordas, LAC.
• Rebecca Cubitt
• Grace Cuckow
• Eli Clover Cuda
• Karl Cuddy, MD, DDS
• Isaiah Jesse Cuellar

• Ambulatory Surgical Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Ambulatory Surgical Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; 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.