NORTHWEST SURGICAL SPECIALISTS PC (NPI# 1093237612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093237612 |
| Entity Type | Organization |
| Organization Name | NORTHWEST SURGICAL SPECIALISTS PC |
| Other Organization Name | REBOUND ORTHOPEDIC EAST VANCOUVER OFFICE |
| Practice Address |
3101 Se 192nd Ave Ste 103 Vancouver WA 98683-1443 |
| Mailing Address |
200 Ne Mother Joseph Pl Ste 210 Vancouver WA 98664-3295 |
| Practice Telephone | 3602546161 |
| Mailing Telephone | 3602546161 |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2017-07-14 |
| Authorized Official Name | JAY L CRARY (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 3602546161 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTHWEST SURGICAL SPECIALISTS PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Rebound Orthopedic East Vancouver Office | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023530508 | Northwest Surgical Specialists PC | Durable Medical Equipment & Medical Supplies | 200 Ne Mother Joseph Pl Ste 305, Vancouver, WA 98664-3296 | 2017-07-17 |
| 1710409347 | Northwest Surgical Specialists PC | Durable Medical Equipment & Medical Supplies | 1040 Nw 22nd Ave Ste 610, Portland, OR 97210-3066 | 2017-07-14 |
| 1306368915 | Northwest Surgical Specialists PC | Durable Medical Equipment & Medical Supplies | 2121 Ne 139th St Ste 300, Vancouver, WA 98686-2316 | 2017-07-14 |
| 1548782022 | Northwest Surgical Specialists PC | Durable Medical Equipment & Medical Supplies | 601 Se 117th Ave Ste 210, Vancouver, WA 98683-5297 | 2017-07-17 |
| 1801318381 | Northwest Surgical Specialists PC | Durable Medical Equipment & Medical Supplies | 1 N Center Court St Ste 110, Portland, OR 97227-2104 | 2017-07-17 |
| 1821510306 | Northwest Surgical Specialists PC | Durable Medical Equipment & Medical Supplies | 2121 Ne 139th St Ste 325, Vancouver, WA 98686-2319 | 2017-07-17 |
| 1801318415 | Northwest Surgical Specialists PC | Durable Medical Equipment & Medical Supplies | 200 Ne Mother Joseph Pl Ste 300, Vancouver, WA 98664-3296 | 2017-07-14 |
| 1609398239 | Northwest Surgical Specialists PC | Durable Medical Equipment & Medical Supplies | 4811 Meadows Rd Ste 101, Lake Oswego, OR 97035-2542 | 2017-07-14 |
| 1851568422 | Northwest Surgical Specialists PC | Podiatrist | 3100 W Higgins Rd Ste 150, Hoffman Estates, IL 60169-7256 | 2008-05-13 |
| 1801073762 | Northwest Surgical Specialists PC | Durable Medical Equipment & Medical Supplies | 200 Ne Mother Joseph Pl Ste 110, Vancouver, WA 98664-3293 | 2008-01-23 |
| Street Address |
3101 SE 192ND AVE STE 103 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98683-1443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235761222 | Nathaniel James Eugene Powell | Behavior Technician | 4101se 192nd Ave, Ste 101, Vancouver, WA 98683 | 2020-02-07 |
| 1295294973 | Ubmhc1, LLC | Clinical Medical Laboratory | 18110 Southeast 34th St, Building 2, Suite 240, Vancouver, WA 98683 | 2019-03-13 |
| 1982116695 | Amy K Adams | Massage Therapist | 2716 Se 169th Ave, X-232, Vancouver, WA 98683 | 2017-11-03 |
| 1477088920 | Alexandra Ransonet | Dental Hygienist | 19111 Se 34th. St., Vancouver, WA 98683 | 2017-04-21 |
| 1639618630 | Digestive Gi Care | Internal Medicine | 305 Sw Chkalov Dr, 111-140, Vancouver, WA 98683 | 2017-02-23 |
| 1447706742 | Jennifer Horst | Massage Therapist | 3401 Se 192nd. Ave. Suite 107, Vancouver, WA 98683 | 2016-08-28 |
| 1154702728 | Kacie Marie Hamreus | Physician Assistant | 3101 Se 192nd Avenue, Vancouver, WA 98683 | 2015-06-09 |
| 1851782338 | Kathryn Wiedeman | Physical Therapy Assistant | 801 Se Park Crestt Ave, Vancouver, WA 98683 | 2015-02-05 |
| 1407255326 | Jesse Ryan Moses | Dentist | 16600 Se 15th Street, Suite A, Vancouver, WA 98683 | 2014-08-15 |
| 1366869893 | Stephen J Wold II | Podiatrist | 16701 Ne Mcgillivray Blvd, Ste 220, Vancouver, WA 98683 | 2014-03-21 |
| Find all providers in zip 98683 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528675451 | Zoia Healthcare | Durable Medical Equipment & Medical Supplies | 12308 Ne 56th St Ste 1611, Vancouver, WA 98682-6495 | 2020-09-24 |
| 1932754140 | Vivakeso LLC | Durable Medical Equipment & Medical Supplies | 2718 Ne 152nd Ave, Vancouver, WA 98684-7887 | 2019-08-05 |
| 1417519299 | Amerita, Inc. | Durable Medical Equipment & Medical Supplies | 18110 Se 34th St Ste 290, Vancouver, WA 98683-9440 | 2019-07-02 |
| 1023530508 | Northwest Surgical Specialists PC | Durable Medical Equipment & Medical Supplies | 200 Ne Mother Joseph Pl Ste 305, Vancouver, WA 98664-3296 | 2017-07-17 |
| 1306368915 | Northwest Surgical Specialists PC | Durable Medical Equipment & Medical Supplies | 2121 Ne 139th St Ste 300, Vancouver, WA 98686-2316 | 2017-07-14 |
| 1023560141 | Disabled Veterans Hawaii LLC | Durable Medical Equipment & Medical Supplies | 4817 Nw Fruit Valley Road, Suite 100, Vancouver, WA 98660 | 2016-10-25 |
| 1770930323 | Sleep Technologies Ltd | Durable Medical Equipment & Medical Supplies | 9300 Ne Vancouver Mall Dr Ste 203, Vancouver, WA 98662-8206 | 2016-05-24 |
| 1659759504 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1601 E Fourth Plain Blvd Ste B260, Vancouver, WA 98661-3713 | 2015-05-12 |
| 1346639382 | Orion Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 3002 Ne 112th Ave Ste F, Vancouver, WA 98682-7262 | 2015-01-14 |
| 1912396912 | Northwest Health and Safety Inc | Durable Medical Equipment & Medical Supplies | 6300 Ne St James Rd, Suite 106, Vancouver, WA 98663-1494 | 2015-01-13 |
| Find all providers in VANCOUVER | ||||
Please comment or provide details below to improve the information on NORTHWEST SURGICAL SPECIALISTS PC.
| 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.