Organization Active NPI

General Surgeons on Tieton, PC

Doing business as Cascade Surgical Partners

  • Surgery Physician
  • Yakima, WA
National Provider Identifier
1841474632
Registry record updated Dec 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
6939 Issued in WA
Legal business name
GENERAL SURGEONS ON TIETON, PC
Doing business as
Cascade Surgical Partners
Practice address
3003 Tieton Dr
Suite 300
Yakima, WA 98902-3679
Phone
(509) 575-3946
Fax
(509) 225-6449
NPI assigned
Dec 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2007

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

Authorized official

Name
Dr. Robert John Conroy, MD
Title
Authorized Official
Phone
(509) 575-3946

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 6939 WA Primary

Addresses

Primary practice location

3003 Tieton Dr
Suite 300
Yakima, WA 98902-3679

Mailing address

PO Box 2947
Yakima, WA 98907-2947
Phone (509) 248-7849

Other names 1

  • Cascade Surgical Partners Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1841474632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2947",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989072947",
            "telephone_number": "509-248-7849",
            "fax_number": "509-249-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 TIETON DR",
            "address_2": "SUITE 300",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023679",
            "telephone_number": "509-575-3946",
            "fax_number": "509-225-6449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL SURGEONS ON TIETON, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "CONROY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "509-575-3946",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "WA",
            "license": "6939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cascade Surgical Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.