NPIMap

Organization Active NPI

Cascade Orthopedics & Sports Medicine Center, PC

  • Orthopaedic Surgery Physician
  • The Dalles, OR
National Provider Identifier
1841366010
Registry record updated Mar 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
CASCADE ORTHOPEDICS & SPORTS MEDICINE CENTER, PC
Practice address
1715 E 12TH St
The Dalles, OR 97058-3136
Phone
(541) 296-2294
Fax
(541) 298-4123
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2015

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

Authorized official

Name
Mr. Gregroy M Stanley, M.D.
Title
Corporate Officer
Phone
(541) 296-2294

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207X00000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

1715 E 12TH St
The Dalles, OR 97058-3136

Mailing address

1715 E 12TH St
The Dalles, OR 97058-3136
Phone (541) 296-2294

Other identifiers 2

IdentifierTypeStateIssuer
180273MedicaidOR
7939200MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040422001411 OR Part B Supplier - Clinic/Group Practice 4486640695 Receives reassigned benefits from 4 practitioners
Practice locations: The Dalles, OR
O20100930000665 OR DME Supplier - Physician - Orthopedic/Orthopedic Surgery 4486640695 Practice locations: The Dalles, OR

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: cameronl@cascade.directmessaging.net

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426723200000",
    "number": "1841366010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 E 12TH ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970583136",
            "telephone_number": "541-296-2294",
            "fax_number": "541-298-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 E 12TH ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970583136",
            "telephone_number": "541-296-2294",
            "fax_number": "541-298-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE ORTHOPEDICS & SPORTS MEDICINE CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2015-03-19",
        "status": "A",
        "authorized_official_last_name": "STANLEY",
        "authorized_official_first_name": "GREGROY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CORPORATE OFFICER",
        "authorized_official_telephone_number": "541-296-2294",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180273",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7939200",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Dalles, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; 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.