Cascade Urology Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CASCADE UROLOGY SURGERY CENTER

Practice address

340 Birchwood Ave
Bellingham, WA 98225-1782

Phone

(360) 676-2749

Fax

(360) 676-7730

NPI assigned

Feb 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John Mark Pettit, M.D.

Title

Owner

Phone

(360) 676-2749

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1780722819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 BIRCHWOOD AVE",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251782",
            "telephone_number": "360-676-2749",
            "fax_number": "360-676-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 BIRCHWOOD AVE",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251782",
            "telephone_number": "360-676-2749",
            "fax_number": "360-676-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE UROLOGY SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "PETTIT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-676-2749",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7108632",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cascade Medical Advantage
• Cascade Mobile Care, PLLC
• Cascade Neuropsychology, PLLC
• Cascade Nutrition
• Cascade Physio & Wellness PLLC
• Cascadia Center for Massage
• Cascadia Family Health
• Cascadia Massage and Wellness
• Cascadia Physical Therapy
• Cascadia Wellness, PLLC

• Ambulatory Surgical Clinic/Center in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Ambulatory Surgical Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.