Cascade Cardiology LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

CASCADE CARDIOLOGY LLC

Practice address

777 Commercial St SE
Salem, OR 97301-0060

Phone

(503) 485-4787

Fax

(503) 485-4789

NPI assigned

Oct 18, 2011

Organization subpart

Yes

Parent organization

CASCADE CARDIOLOGY LLCAs reported in NPPES

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

Authorized official

Name

Helen C Wigstrom

Title

Credentialing Specialist

Phone

(503) 485-4787

Specialties & licenses 3

Addresses

Other names 1

• Cascade Cardiology Willamette Medical Center Other name

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Cascade Cardiology LLC

  • Internal Medicine Physician
  • Salem, OR
  • NPI 1447202668

  O20040408001518

  Same enrollment
• Cascade Cardiology LLC

  • Cardiovascular Disease Physician
  • Salem, OR
  • NPI 1548545817

  O20040408001518

  Same enrollment

Tax ID family

Cascade Cardiology LLC2 organizations share this tax ID, including this one

Part of

Cascade Cardiology LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Cascade Cardiology LLC

  • Cardiovascular Disease Physician
  • Salem, OR
  • NPI 1548545817
  NPD tax ID

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Pacific Cardiovascular Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Salem, OR
  • NPI 1740946128

  Member Of

  NPD member

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Cascade Cardiology LLC

  • Internal Medicine Physician
  • Salem, OR
  • NPI 1447202668
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ashit Gajendra Patel, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Salem, OR
  • NPI 1427276757

  Cardiovascular Disease

  NPD (past)
• Aswathnarayan R Manandhi, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1568662385

  Cardiovascular Disease

  NPD (past)

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

{
    "created_epoch": "1318896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320624000000",
    "number": "1639454903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 COMMERCIAL ST SE",
            "address_2": "SUITE 130",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013421",
            "telephone_number": "503-485-4787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 COMMERCIAL ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973010060",
            "telephone_number": "503-485-4787",
            "fax_number": "503-485-4789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE CARDIOLOGY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CASCADE CARDIOLOGY LLC",
        "enumeration_date": "2011-10-18",
        "last_updated": "2011-11-07",
        "status": "A",
        "authorized_official_last_name": "WIGSTROM",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "503-485-4787"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cascade Cardiology Willamette Medical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rebecca Carter
• Marissa Carver
• Carmen Rocio Casas
• Cascade Cardiology LLC
• Cascade Cardiology LLC
• Cascade Dental Group, LLC
• Cascade Family Care PC
• Cascade Infectious Diseases and Infusion LLC
• Cascade Sleep Supply, LLC.
• Cascadia Behavioral Healthcare Inc

• Cardiovascular Disease Physician in Salem, OR
• Providers in Salem, OR by specialty
• Cardiovascular Disease Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.