Cascade Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

395515 Issued in OR

Legal business name

CASCADE SURGERY CENTER LLC

Practice address

120 NE Manzanita Ave
Grants Pass, OR 97526-1431

Phone

(541) 476-6636

Fax

(541) 476-6690

NPI assigned

Jul 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Douglas R. Merritt, M.D.NPI 1093718322

Title

President

Phone

(541) 476-6636

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Listed as

Cascade Surgery Center LLCCCN 38C0001075

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://57c9cc78-a402-499f-957d-8bbee6939ebd.gastro.prod.fhir.ema-api.com/fhir/r4/

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Douglas R. Merritt, M.D.

  • Ophthalmology Physician
  • Grants Pass, OR
  • NPI 1093718322
  Medicare reassignment NPD Authorized official
• Rodney Derrick Leavitt, M.D.

  • Ophthalmology Physician
  • Grants Pass, OR
  • NPI 1982630695
  Medicare reassignment NPD
• Mark Maffett, M.D.

  • Ophthalmology Physician
  • Grants Pass, OR
  • NPI 1760489991
  Medicare reassignment NPD
• Matthew David Fullmer, DO

  • Student in an Organized Health Care Education/Training Program
  • Grants Pass, OR
  • NPI 1841786829
  NPD (past)
• Matthew Guymon, D.O.

  • Ophthalmology Physician
  • Grants Pass, OR
  • NPI 1205120730
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297123200000",
    "number": "1922022425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 NE MANZANITA AVE",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261431",
            "telephone_number": "541-479-2824",
            "fax_number": "541-474-4980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 NE MANZANITA AVE",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261431",
            "telephone_number": "541-476-6636",
            "fax_number": "541-476-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2011-02-08",
        "status": "A",
        "authorized_official_last_name": "MERRITT",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-476-6636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OR",
            "license": "395515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON MEDICAL LICENSE",
            "identifier": "395515",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DBID",
            "identifier": "399700000084893",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Britney Noel Carter
• Fiona Carter
• Cascade Chiropractic of Southern Oregon, LLC
• Cascade Eyecare Center PC
• Cascade Physical Therapy of Grants Pass LLC
• Cascade West Medical Practice LLC
• Lucy Casimir, NP
• Rachel Castellano, CRM/PSS
• John Castle, D.P.M.
• Kenneth F Castle, DDS

• Ambulatory Surgical Clinic/Center in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Ambulatory Surgical Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.