NORTHWEST SURGICAL SPECIALISTS PC (NPI# 1801318415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801318415 |
| Entity Type | Organization |
| Organization Name | NORTHWEST SURGICAL SPECIALISTS PC |
| Other Organization Name | REBOUND ORTHOPEDICS AND NEUROSURGERY |
| Practice Address |
200 Ne Mother Joseph Pl Ste 300 Vancouver WA 98664-3296 |
| Mailing Address |
200 Ne Mother Joseph Pl Ste 210 Vancouver WA 98664-3295 |
| Practice Telephone | 3602546161 |
| Mailing Telephone | 3602546161 |
| Mailing Fax Number | 3604491139 |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | DR. 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 and Neurosurgery Specialists | Doing Business As Name - Organization |
| Rebound Orthopedics and Neurosurgery | Doing Business As Name - 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 |
| 1093237612 | Northwest Surgical Specialists PC | Durable Medical Equipment & Medical Supplies | 3101 Se 192nd Ave Ste 103, Vancouver, WA 98683-1443 | 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 |
| 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 |
200 NE MOTHER JOSEPH PL STE 300 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98664-3296 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467460923 | Andrew Nicholas Nemecek | Neurological Surgery | 200 Ne Mother Joseph Pl Ste 300, Vancouver, WA 98664 | 2006-08-03 |
| 1942430624 | Wendy W Chang | Neurological Surgery | 200 Ne Mother Joseph Pl Ste 300, Vancouver, WA 98664-3296 | 2009-07-16 |
| 1003050071 | Breanne Rohde | Physician Assistant | 200 Ne Mother Joseph Pl Ste 300, Vancouver, WA 98664 | 2009-04-22 |
| 1750546537 | Jennifer Wynn | Registered Nurse | 200 Ne Mother Joseph Pl Ste 300, Vancouver, WA 98664 | 2008-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249938 | Angelica Maria Parle-fresquez | Speech-Language Pathologist | Early Childhood Assessment Center - Lieser School, 301 S. Lieser Rd, Vancouver, WA 98664 | 2020-09-10 |
| 1467923441 | Elizabeth Steen | Counselor | 230 E. State St., Mossyrock, WA 98664 | 2018-12-17 |
| 1497241657 | Chelsey Nicole Parker | Peer Specialist | 9815 Ne 3rd St, Vancouver, WA 98664 | 2018-07-10 |
| 1881145431 | Brent Homan | Occupational Therapist | 807 Se Morgan Rd., Vancouver, WA 98664 | 2016-10-19 |
| 1114474277 | Rebecca Marie Stefan | Nurse's Aide | 10025 Ne 19th St, Vancouver, WA 98664 | 2016-09-07 |
| 1528454105 | Alicia Ford | Dietitian, Registered | 700 Ne 87th Ave Ste 280, Vancouver, WA 98664 | 2015-04-10 |
| 1033504261 | Reid Roberts Bennett | Anesthesiology | 505 Ne 87th Ave Ste 210, Vancouver, WA 98664 | 2015-04-03 |
| 1235550856 | Nikolay Nikolaevich Chernukhin Jr. | Chiropractor | 221-a Ne 104th Ave, Suite 205, Vancouver, WA 98664 | 2013-12-27 |
| 1013278712 | Serena Harker | Physical Therapy Assistant | 221a Ne 104th Ave, Suite #205, Vancouver, WA 98664 | 2012-05-30 |
| 1295091080 | Rebeca C Johnson | Massage Therapist | 11015 Ne 4th Plain Suite B, Vancouver, WA 98664 | 2012-04-05 |
| Find all providers in zip 98664 | ||||
| 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 |
| 1093237612 | Northwest Surgical Specialists PC | Durable Medical Equipment & Medical Supplies | 3101 Se 192nd Ave Ste 103, Vancouver, WA 98683-1443 | 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 |
| Find all providers in VANCOUVER | ||||
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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.