NPIMap

Organization Active NPI

Cascade Infectious Diseases and Infusion LLC

Doing business as Cascade ID and Infusion LLC

  • Infusion Therapy Clinic/Center
  • Salem, OR
National Provider Identifier
1639403330
Registry record updated Nov 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
License
MD12930 Issued in OR
Legal business name
CASCADE INFECTIOUS DISEASES AND INFUSION LLC
Doing business as
Cascade ID and Infusion LLC
Practice address
2720 Commercial St SE
Suite 201
Salem, OR 97302-4586
Phone
(503) 540-9999
Fax
(503) 540-3105
NPI assigned
Sep 28, 2009
Last updated
Nov 7, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2012

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

Authorized official

Name
Dr. John C Girod, M.D.NPI 1568546794
Title
Owner
Phone
(503) 540-9999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X MD12930 OR Primary

Addresses

Primary practice location

2720 Commercial St SE
Suite 201
Salem, OR 97302-4586

Mailing address

2720 Commercial St SE
Suite 201
Salem, OR 97302-4586
Phone (503) 540-9999

Other identifiers 1

IdentifierTypeStateIssuer
R152483OtherORMEDICARE PTAN

Other names 1

  • Cascade ID and Infusion LLC Doing business as

National Provider Directory

National Provider Directory

Locations

960 Liberty St SE
Ste 140
Salem, OR 97302
Phone (503) 585-0575

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352246400000",
    "number": "1639403330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 COMMERCIAL ST SE",
            "address_2": "SUITE 201",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024586",
            "telephone_number": "503-540-9999",
            "fax_number": "503-540-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 COMMERCIAL ST SE",
            "address_2": "SUITE 201",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024586",
            "telephone_number": "503-540-9999",
            "fax_number": "503-540-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE INFECTIOUS DISEASES AND INFUSION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-28",
        "last_updated": "2012-11-07",
        "status": "A",
        "authorized_official_last_name": "GIROD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-540-9999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "OR",
            "license": "MD12930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "R152483",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cascade ID and Infusion LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; 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.