Cascade Hemophilia Consortium

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

License

5301006155 Issued in MI

Legal business name

CASCADE HEMOPHILIA CONSORTIUM

Doing business as

CASCADE HEMOPHILIA CONSORTIUM

Practice address

2025 Traverwood Dr Ste a
Ann Arbor, MI 48105-2197

Phone

(734) 996-3300

Fax

(734) 996-5566

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Stephanie Raymond

Title

Exec Director

Phone

(734) 996-3300

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• CASCADE HEMOPHILIA CONSORTIUM Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1922019561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 TRAVERWOOD DR STE A",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481052197",
            "telephone_number": "734-996-3300",
            "fax_number": "734-996-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 TRAVERWOOD DR STE A",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481052197",
            "telephone_number": "734-996-3300",
            "fax_number": "734-996-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE HEMOPHILIA CONSORTIUM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2025-09-19",
        "certification_date": "2022-04-13",
        "status": "A",
        "authorized_official_last_name": "RAYMOND",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "EXEC DIRECTOR",
        "authorized_official_telephone_number": "734-996-3300"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "MI",
            "license": "5301006155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2042655",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2353922",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CASCADE HEMOPHILIA CONSORTIUM",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CASCADE HEMOPHILIA CONSORTIUM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thiago Carvalho de Sousa, DDS, MS
• Karen Ziarnowski Carver, DDS, MD
• Shardonnai Carvin
• Jessica Casarez
• Steven Guy Cascaddan, NURSE ANESTHETIST
• Philip Neil Cascade, MD
• Camilla Aurora Cascardo, MD
• Thomas Matthew Cascino, MD
• Amy Lynn Casedy
• Paul Stanley Caseley, M.D.

• Specialty Pharmacy in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Specialty Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.