Cascade Surgicenter, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

08-00002864 Issued in OR

Legal business name

CASCADE SURGICENTER, LLC

Practice address

2200 NE Neff Road,
Suite 100
Bend, OR 97701

Phone

(541) 330-8671

Fax

(541) 322-2394

NPI assigned

Apr 17, 2006

Last updated

Jul 21, 2022By 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

Cammy Gilstrap, CLINICAL DIRECTOR

Title

Clinical Director

Phone

(541) 330-8671

Specialties & licenses 2

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Listed as

Cascade Surgicenter LLCCCN 38C0001068

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

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Cascade Healthcare Community

  dba Sage View at St. Charles Medical Center

  • Psychiatric Residential Treatment Facility
  • Bend, OR
  • NPI 1003939885

  Member Of

  NPD member
• Neuromusculoskeletal Center of the Cascades PC

  dba The Center

  • Specialist
  • Redmond, OR
  • NPI 1265981724

  Member Of

  NPD member

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1669437497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 NE NEFF ROAD,",
            "address_2": "SUITE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97701",
            "telephone_number": "541-330-8671",
            "fax_number": "541-322-2394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 NE NEFF ROAD,",
            "address_2": "SUITE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97701",
            "telephone_number": "541-330-8671",
            "fax_number": "541-322-2394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE SURGICENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GILSTRAP",
        "authorized_official_first_name": "CAMMY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "541-330-8671",
        "authorized_official_credential": "CLINICAL DIRECTOR"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OR",
            "license": "08-00002864",
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "OR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "197167600",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFIC SOURCE HEALTH PLAN",
            "identifier": "33601",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OMAP",
            "identifier": "269786",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCN (CMS CERTIFICATION NUMBER)",
            "identifier": "38C0001068",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "610406200",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDENCE HP",
            "identifier": "338161",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA DEPT OF LABOR",
            "identifier": "197475",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFIC SOURCE",
            "identifier": "P333601",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cascade Medical Transports, LLC
• Cascade Mobile Physical Therapy
• Cascade Nutrition Consulting, LLC
• Cascade Psychological Services, LCC
• Cascade Speech and Language
• Cascadia Family Dental
• Cascadia Family Therapy
• Taylor Jayne Case
• Joseph Bradley Cason, PHARM D
• Aislinn Rhea Cassels-Hyde, D.C.

• Ambulatory Surgical Clinic/Center in Bend, OR
• Providers in Bend, 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 Jul 21, 2022; 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.