Cascade Cosmetic and Reconstructive Surgery PC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

MD00013415 Issued in WA

Legal business name

CASCADE COSMETIC AND RECONSTRUCTIVE SURGERY PC

Practice address

3907 Creekside Loop
Suite 130
Yakima, WA 98902

Phone

(509) 225-4555

NPI assigned

Oct 16, 2007

Organization subpart

No

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

Authorized official

Name

Christopher W Hauge, MD

Title

Owner

Phone

(509) 225-4555

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• CHRISTOPHER HAUGE, MD Other name

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275350400000",
    "number": "1780873695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3907 CREEKSIDE LOOP",
            "address_2": "SUITE 130",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989024879",
            "telephone_number": "509-225-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3907 CREEKSIDE LOOP",
            "address_2": "SUITE 130",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "98902",
            "telephone_number": "509-225-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE COSMETIC AND RECONSTRUCTIVE SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2010-06-01",
        "status": "A",
        "authorized_official_last_name": "HAUGE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-225-4555",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "WA",
            "license": "MD00013415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN-GROUP",
            "identifier": "AB39115",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1108943",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHRISTOPHER HAUGE, MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jennifer Carter
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• Cascade Summit Physical Therapy Inc PS
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• Plastic and Reconstructive Surgery Physician in Yakima, WA
• Providers in Yakima, WA by specialty
• Plastic and Reconstructive Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; 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.