CASCADE MEDICAL GROUP, LLC (NPI# 1083706436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083706436 |
| Entity Type | Organization |
| Organization Name | CASCADE MEDICAL GROUP, LLC |
| Other Organization Name | CASCADE PROFESSIONAL BUSINESS SERVICES, LLC |
| Practice Address |
1253 N Canal Blvd. Redmond OR 97756-0400 |
| Mailing Address |
Po Box 1420 Redmond OR 97756-0400 |
| Practice Telephone | 5415163866 |
| Practice Fax Number | 5415163877 |
| Mailing Telephone | 5415163866 |
| Mailing Fax Number | 5415163877 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2010-08-12 |
| Authorized Official Name | KAREN M SHEPARD (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 5417063708 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 274089 | 05 |
| Other Name | Type Code |
|---|---|
| Cascade Professional Business Services, LLC | Former Legal Business Name - Organization |
| Street Address |
1253 N CANAL BLVD. |
| City | REDMOND |
| State | OR |
| Zip Code | 97756-0400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679083349 | Vicki Rae Morris | Foster Care Agency | 3585 Sw 35th St., Redmond, OR 97756 | 2017-10-06 |
| 1275066417 | Norco, Inc | Durable Medical Equipment & Medical Supplies | 655 Nw Jackpine Ave, Redmond, OR 97756 | 2017-04-05 |
| 1750778015 | Kelly Gobler | Occupational Therapy Assistant | 3000 Sw 32nd Street, The Heights Assisted Living, Redmond, OR 97756 | 2015-04-23 |
| 1912303934 | Andrea Adams | Pharmacist | 944 Sw Veterans Way, Redmond, OR 97756 | 2014-11-18 |
| 1649670365 | Advantage Dental Clinics LLC | Dentist | 442 Sw Umatilla Ave., Suite 200, Redmond, OR 97756 | 2014-08-29 |
| 1760891832 | Elizabeth Mae Smith | Counselor | 2659 Sw 4th St Ste 102, Redmond, OR 97756 | 2014-08-04 |
| 1700296837 | Heather A Ahlf | Physician Assistant | 1245 Nw Canal Blvd, Redmond, OR 97756 | 2014-04-29 |
| 1306289277 | Asa Racquel Aramburo | Social Worker | 203 Sw 8th St., Redmond, OR 97756 | 2013-04-10 |
| 1427396969 | Alison Elizabeth Jackson | Pharmacist | 944 Sw 9th Street, Redmond, OR 97756 | 2013-01-17 |
| 1083964449 | Julie C Plachta | Mechanotherapist | 654 Nw 4th Street, Redmond, OR 97756 | 2012-09-13 |
| Find all providers in zip 97756 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033260815 | Bennet M. Wang | Internal Medicine | 2700 152nd Ave Ne, Redmond, WA 98052-5543 | 2007-01-16 |
| 1073661393 | Richard C. Hert | Internal Medicine | 2700 152nd Ave Ne, Redmond, WA 98052-5543 | 2007-01-05 |
| 1124112263 | Cascade Professional Business Service | Internal Medicine | 1253 Nw Canal Blvd, Redmond, OR 97756-1334 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548587660 | Anna Kristin Brady | Internal Medicine | 3181 Sw Sam Jackson Park Rd # 67, Portland, OR 97239-3011 | 2010-04-29 |
| 1447417100 | Mary Suzanne Mckenzie | Internal Medicine | 19250 Sw 65th Ave Ste 137, Tualatin, OR 97062-7745 | 2008-05-20 |
| 1316142425 | Fayez A. Bader | Internal Medicine | 801 Mission St. Se, Salem, OR 97302-6217 | 2007-06-19 |
| 1780707174 | Wheeler John Dale | Internal Medicine | 5060 Sw Philomath Blvd, # 512, Corvallis, OR 97333 | 2007-04-09 |
| 1699869255 | Ralph A Juarez | Internal Medicine | 10201 Se Main St Ste 11, Portland, OR 97216-2937 | 2006-10-03 |
| 1285731059 | Catherine J Markin | Internal Medicine | 2222 Nw Lovejoy St., Mob 1 Suite 411, Portland, OR 97210 | 2006-09-20 |
| 1477520120 | Poh Hock Leng | Internal Medicine | 2222 Nw Lovejoy St Ste 411, Portland, OR 97210-5102 | 2006-03-01 |
| 1407832868 | Razvan I Gosman | Internal Medicine | 2460 Nw Stewart Pkwy, Suite 103, Roseburg, OR 97471-1516 | 2005-12-19 |
| 1629054085 | Luana Ionela Petre Nedita | Internal Medicine | 2460 Nw Stewart Parkway, Suite 103, Roseburg, OR 97471-1516 | 2005-12-19 |
| 1952885659 | Amy Purkey | Internal Medicine | 890 Oak St Se, Salem, OR 97301-3905 | 2018-09-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.