Cascade Internal Medicine PS

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

12582 Issued in WA

Legal business name

CASCADE INTERNAL MEDICINE PS

Practice address

1901 So Union
Allenmore Medical Center Ste A305
Tacoma, WA 98405

Phone

(253) 272-3031

Fax

(253) 272-9449

NPI assigned

Mar 7, 2006

Last updated

Aug 22, 2020By 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

John Daniel Wanwig, MD

Title

Physician President

Phone

(253) 272-3031

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• John Daniel Wanwig MD Other name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

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.

• Sanaz W. Askari, D.O.

  • Internal Medicine Physician
  • Bend, OR
  • NPI 1437248358
  NPD (past)
• Mark A Backus, M.D.

  • Internal Medicine Physician
  • Bend, OR
  • NPI 1588693105
  NPD (past)
• Hugh Calkins, M.D.

  • Pediatrics Physician
  • Washington, DC
  • NPI 1083152003
  NPD (past)

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700853983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 SO UNION",
            "address_2": "ALLENMORE MEDICAL CENTER STE A305",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98405",
            "telephone_number": "253-272-3031",
            "fax_number": "253-272-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 SO UNION",
            "address_2": "ALLENMORE MEDICAL CENTER STE A305",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98405",
            "telephone_number": "253-272-3031",
            "fax_number": "253-272-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE INTERNAL MEDICINE PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WANWIG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PHYSICIAN PRESIDENT",
        "authorized_official_telephone_number": "253-272-3031",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "12582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "21793",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRIME VICTIMS",
            "identifier": "8914379",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "WA7229",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1047786",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID MEDICAL",
            "identifier": "1300029",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John Daniel Wanwig MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Christina Casady, OTRL
• Tony Jerrold Casanova, PHARM.D.
• Lisa Casassa, LABA
• Rafaela Sofia Domingo Casayuran
• Cascade Chiropractic and Massage Inc
• Cascade Interventional Pain Center
• Cascade Interventional Pain Center PLLC
• Cascade Mental Health PS (Cascade Mental Health)
• Cascade Nurse Practitioners
• Cascade Pacific Eyecare

• Psychiatry Physician in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Psychiatry Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.