Cascade Surgical Physician Assistants, PLLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

CASCADE SURGICAL PHYSICIAN ASSISTANTS, PLLC

Practice address

4114 Maple St
Vancouver, WA 98660-1647

Phone

(360) 699-8754

Fax

(360) 750-6262

NPI assigned

Feb 9, 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

Brian Granvall, PA-CNPI 1205809852

Title

Manager

Phone

(360) 699-8754

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Brian E Granvall, PA-C

  • Diagnostic Radiology Physician
  • Boise, ID
  • NPI 1205809852

  Physician Assistant

  NPD (past) Authorized official
• Robert S Brookshire, PA-C

  • Physician Assistant
  • Vancouver, WA
  • NPI 1295708378
  NPD (past)

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811960990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4114 MAPLE ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986601647",
            "telephone_number": "360-699-8754",
            "fax_number": "360-750-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4114 MAPLE ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986601647",
            "telephone_number": "360-699-8754",
            "fax_number": "360-750-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE SURGICAL PHYSICIAN ASSISTANTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRANVALL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "360-699-8754",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cascade Park Pharmacy Inc (Ready Meds Pharmacy)
• Cascade Park Specialty Care Home LLC
• Cascade Park Sports Medicine & Rehab Clinic PLLC
• Cascade Pathology Services, Corp
• Cascade Physical Therapy LLC
• Cascadia Cruise Co.
• Cascadia Health Care, P.C.
• Cascadia Integrative Massage
• Cascadia Women's Clinic, LLP
• Hayley Katrina Cascio

• Physician Assistant in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Physician Assistant 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.