HIGH DESERT SURGERY CENTER, L.L.C. (NPI# 1033399084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033399084 |
Entity Type | Organization |
Organization Name | HIGH DESERT SURGERY CENTER, L.L.C. |
Practice Address |
521 N Young St Kennewick WA 99336-7806 |
Mailing Address |
911 S Washington St Kennewick WA 99336-5600 |
Practice Telephone | 5095862828 |
Practice Fax Number | 5095862525 |
Mailing Telephone | 5095862828 |
Mailing Fax Number | 5095862525 |
Enumeration Date | 2007-11-07 |
Last Update Date | 2007-11-07 |
Authorized Official Name | DR. CHRISTOPHER KONTOGIANIS (MANAGING MEMBER) |
Authorized Official Telephone | 5095862828 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
WA | Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861971046 | High Desert Surgery Center, L.L.C. | Neurological Surgery | 3192 Willow Creek Rd, Prescott, AZ 86301-6610 | 2018-08-09 |
Street Address |
521 N YOUNG ST |
City | KENNEWICK |
State | WA |
Zip Code | 99336-7806 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184620759 | Ellen T Ang | Specialist | 521 N Young St, Kennewick, WA 99336-7806 | 2005-06-28 |
1093196230 | Fatima Saifuddin | Internal Medicine | 521 N Young St, Kennewick, WA 99336 | 2015-06-13 |
1184985152 | Tabitha C Lustig | Nurse Practitioner | 521 N Young St, Kennewick, WA 99336-7806 | 2012-06-06 |
1790055077 | Matthew Palmblad | Nurse Practitioner | 521 N Young St, Kennewick, WA 99336-7806 | 2012-01-04 |
1629388418 | Vamsi Krishna Kanneganti | Internal Medicine | 521 N Young St, Kennewick, WA 99336-7806 | 2010-10-14 |
1205099082 | Porntip Kiatsimkul | Internal Medicine | 521 N Young St, Kennewick, WA 99336 | 2008-07-02 |
1285825380 | Columbia Shores Comprehensive Obstetrics and Gynecology, Pllc | Obstetrics & Gynecology | 521 N Young St, Kennewick, WA 99336-7806 | 2007-08-05 |
1619090487 | Kennewick General Hosital | Pharmacy | 521 N Young St, Kennewick, WA 99336-7806 | 2007-04-09 |
1205939840 | Jimmy D Chua | Specialist | 521 N Young St, Kennewick, WA 99336-7806 | 2006-09-07 |
1982706818 | Obioma Nnamdi Onuorah | Specialist | 521 N Young St, Kennewick, WA 99336-7806 | 2006-09-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497393888 | Kelsie D Parvinen | Massage Therapist | 8350 W. Grandridge Blvd, Suite 100, Kennewick, WA 99336 | 2019-12-16 |
1508403858 | New U Women's Clinic & Aesthetics Pllc | Nurse Practitioner | 35 S Louisiana St, Suite A120, Kennewick, WA 99336 | 2019-12-05 |
1457901944 | Solar Mobility LLC | Durable Medical Equipment & Medical Supplies | 949 S Keller St, Kennewick, WA 99336 | 2019-09-17 |
1023662590 | Shane Arthur Gulley | Counselor | 500 N. Morain St Suite 1250, Kennewick, WA 99336 | 2019-08-01 |
1063973873 | Farah Saleem | Student in an Organized Health Care Education/Training Program | 212 W. 10th Avenue,suite 202, Kennewick, WA 99336 | 2019-03-26 |
1255897690 | Thomas Stanley Mcgowan | Student in an Organized Health Care Education/Training Program | Tri-cities Cancer Center, 7350 W. Deschutes Ave, Building A, Kennewick, WA 99336 | 2019-02-11 |
1770068280 | Remedy Urgent Mobile Medicine Pllc | Nurse Practitioner | 3311 West Clearwater Avenue, Suite D210, Kennewick, WA 99336 | 2018-10-01 |
1740767011 | Zachary Wilber Fournier | Specialist/Technologist | Toyota Center - 7000 West Grandridge Blvd, Kennewick, WA 99336 | 2018-07-19 |
1649780693 | Alan Arnold Hanson | Chiropractor | 8350 W. Grandridge Blvd #100, Kennewick, WA 99336 | 2017-10-04 |
1922528827 | Sarah Nicole Childress | Counselor | 415 North Morain St, Kennewick, WA 99336 | 2017-06-21 |
Find all providers in zip 99336 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720495708 | Tri-city Orthopaedic Clinic Psc | Clinic/Center | 6703 W Rio Grande Ave Bldg A, Kennewick, WA 99336-2623 | 2014-07-22 |
1245358050 | Charles Sung Md PC | Clinic/Center | 317 N Delaware St, Kennewick, WA 99336-7750 | 2007-03-27 |
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1942808571 | N W Eye Surgeons P C | Clinic/Center | 903 Medical Center Dr Ste 200, Arlington, WA 98223-2600 | 2020-10-15 |
1356965750 | Proliance Surgery Center At Valley, LLC | Clinic/Center | 4009 Talbot Road S, Suite 200, Renton, WA 98055 | 2020-06-01 |
1861041139 | Kadlec Regional Medical Center | Clinic/Center | 1270 Lee Blvd Ste B, Richland, WA 99352-4231 | 2019-09-09 |
1891357406 | Phoenix Ionm, LLC. | Clinic/Center | 11 Ohrazda Ln, East Wenatchee, WA 98802-9335 | 2019-07-03 |
1023570488 | Sight Partners, LLC | Clinic/Center | 3405 188th St Sw Ste 303, Lynnwood, WA 98037-4744 | 2019-04-04 |
1609345727 | Liberty Asc | Clinic/Center | 507 N Sullivan Suite 120, Spokane Valley, WA 99037 | 2018-11-19 |
1376026575 | Alderwood Surgery Center LLC | Clinic/Center | 3500 188th St Sw Ste 670, Lynnwood, WA 98037-4782 | 2018-09-13 |
1023507183 | South Perry Endoscopy Pllc | Clinic/Center | 907 S Perry St Ste 260, Spokane, WA 99202-3462 | 2018-05-04 |
1730687179 | Multicare Health System | Clinic/Center | 842 S Cowley St Ste 3, Spokane, WA 99202-1234 | 2018-01-31 |
1295258697 | Washington Center for Pain Management Pllc | Clinic/Center | 155 Lilly Rd Ne Ste 2, Olympia, WA 98506-5028 | 2017-07-18 |
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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.