CASCADE NEUROLOGIC CLINIC, INC, P.S. (NPI# 1194937037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194937037 |
| Entity Type | Organization |
| Organization Name | CASCADE NEUROLOGIC CLINIC, INC, P.S. |
| Practice Address |
1315 East Division St. Mt. Vernon WA 98274 |
| Practice Telephone | 3604248951 |
| Practice Fax Number | 3604248953 |
| Mailing Telephone | 3604248951 |
| Mailing Fax Number | 3604248953 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2008-09-04 |
| Authorized Official Name | SHARON S. ELLIOTT (OFFICE MANAGER) |
| Authorized Official Telephone | 3604248952 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
600182628 | WA | Ambulatory Health Care Facilities |
| Y | 174400000X | Specialist | 600182628 | WA | Other Service Providers |
| Street Address |
1315 EAST DIVISION ST. |
| City | MT. VERNON |
| State | WA |
| Zip Code | 98274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881123438 | Ankur Tarun Sanghvi | Peer Specialist | 209 Milwaukee Steet, 209, Mount Vernon, WA 98274 | 2017-06-07 |
| 1932647187 | Claudia Diaz | Counselor | 23550 Garden St, Mount Vernon, WA 98274 | 2017-02-08 |
| 1871042002 | Richard Simcock Dds, Ps | Dentist | 130 S 15th St Suite 101, Mount Vernon, WA 98274 | 2016-09-29 |
| 1528228186 | Parampreet Singh Ghuman | Internal Medicine | 121 S. 12th St, Ste B, Mount Vernon, WA 98274 | 2008-06-16 |
| 1699940874 | Eugene Villanueva De Guzman | Internal Medicine | 208 S Hospital Pkwy, Mount Vernon, WA 98274 | 2008-04-28 |
| 1871775122 | Matthew John Novak | Internal Medicine | 208 Hospital Pkwy, Mount Vernon, WA 98274 | 2007-11-28 |
| 1568658797 | Emily A K Bianconi | Nurse Practitioner | 2101 Little Mountain Lane, Mount Vernon, WA 98274 | 2007-09-21 |
| 1659576981 | Peggy Randall | Counselor | 1420 S 12th, Mount Vernon, WA 98274 | 2007-06-18 |
| 1427171297 | Keri L D Halgren | Dentist | 1711 E Division Street, Mt Vernon, WA 98274 | 2007-04-09 |
| 1043395841 | Connie L. Davis | Internal Medicine | 208 Hospital Parkway, Mount Vernon, WA 98274 | 2006-10-27 |
| Find all providers in zip 98274 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952516197 | Suzann Fenton | Specialist | 4192 Wilderness Rd, Mt. Vernon, KY 40456 | 2007-05-11 |
| 1376690933 | Heart Specialists of Ohio, Inc | Specialist | 1451 Yauger Road, Suite 1a, Mt. Vernon, OH 43050 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124643978 | Roxanne Grant-duell | Specialist | 12811 Canyon Rd E Ste D, Puyallup, WA 98373-6301 | 2020-06-08 |
| 1710500814 | Foundation Speech Language Learning | Specialist | 7406 27th St W Ste 24a, University Place, WA 98466-4636 | 2020-05-22 |
| 1477172963 | Gary W Bangs | Specialist | 325 9th Ave # Ms 359860, Seattle, WA 98104-2420 | 2020-04-14 |
| 1073153748 | Eric Vincent Currier | Specialist | 7218 Linden Ave. N., Seattle, WA 98103 | 2020-01-10 |
| 1457918351 | Barbara Irene Syverson | Specialist | 418 Ne 4th Ave Ste 105, Camas, WA 98607-2158 | 2019-05-26 |
| 1699231662 | Lice Spies LLC | Specialist | 8923 236th St Sw Ste C, Edmonds, WA 98026-9508 | 2019-02-14 |
| 1376019802 | Tina King | Specialist | 18 Nw 20th Ave Ste 103, Battle Ground, WA 98604-4175 | 2018-10-23 |
| 1538635420 | Amy Yvonne Galindo-ortega | Specialist | 9105 Ne Highway 99 Ste 201, Vancouver, WA 98665-8974 | 2018-10-17 |
| 1780150904 | Lita Fogle | Specialist | 6926 Ne Fourth Plain Blvd Ste 100, Vancouver, WA 98661-7254 | 2018-10-15 |
| 1083199327 | Linnea Joy Wahlstrom-tarbet | Specialist | 8524 Steilacoom Blvd Sw Ste 201b, Lakewood, WA 98498-4772 | 2018-10-02 |
| Find all providers with the same taxonomy | ||||
| City | MT. VERNON |
| Zip Code | 98274 |
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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.