Active NPI
General Surgeons on Tieton, PC
Doing business as Cascade Surgical Partners
- Surgery Physician
- Yakima, WA
National Provider Identifier
1841474632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 6939
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 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
National Provider Directory
National Provider DirectoryNPI 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.