FOURTH CORNER NEUROSURGICAL ASSOCIATES INC PS (NPI# 1275938102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275938102 |
| Entity Type | Organization |
| Organization Name | FOURTH CORNER NEUROSURGICAL ASSOCIATES INC PS |
| Other Organization Name | CASCADE OUTPATIENT SPINE CENTER |
| Practice Address |
710 Birchwood Ave Suite 101 Bellingham WA 98225-1720 |
| Practice Telephone | 3606760922 |
| Mailing Telephone | 3606760922 |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2016-05-24 |
| Authorized Official Name | DR. TUNG HA (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3606760922 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | Y |
| Parent Organization Name | FOURTH CORNER NEUROSURGICAL ASSOCIATES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Cascade Outpatient Spine Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699846386 | Fourth Corner Neurosurgical Associates Inc Ps | Specialist | 710 Birchwood Ave, #101, Bellingham, WA 98225-1720 | 2006-11-13 |
| Street Address |
710 BIRCHWOOD AVE SUITE 101 |
| City | BELLINGHAM |
| State | WA |
| Zip Code | 98225-1720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144291436 | Michael Scott Lawrence | Neurological Surgery | 710 Birchwood Ave, Suite 101, Bellingham, WA 98225-1720 | 2006-01-27 |
| 1942466719 | Conor Joseph Sheehy | Psychiatry & Neurology | 710 Birchwood Ave, Suite 201, Bellingham, WA 98225-1720 | 2008-07-31 |
| 1477719227 | John Robertson Jefferson | Psychiatry & Neurology | 710 Birchwood Ave, Bellingham, WA 98225-1720 | 2008-07-31 |
| 1235321183 | Hendrik S Kok | Physician Assistant | 710 Birchwood Ave, #101, Bellingham, WA 98225-1720 | 2007-08-14 |
| 1831381219 | Seema Afridi | Pediatrics | 710 Birchwood Ave, Suite 201, Bellingham, WA 98225-1720 | 2007-08-09 |
| 1417154113 | Taas Naka Worley King | Psychiatry & Neurology | 710 Birchwood Ave, Suite 201, Bellingham, WA 98225-1720 | 2007-06-27 |
| 1902020738 | Tung Mai Ha | Neurological Surgery | 710 Birchwood Ave, Ste 101, Bellingham, WA 98225-1720 | 2007-04-12 |
| 1699846386 | Fourth Corner Neurosurgical Associates Inc Ps | Specialist | 710 Birchwood Ave, #101, Bellingham, WA 98225-1720 | 2006-11-13 |
| 1902837180 | Bruce Cole Mackay | Psychiatry & Neurology | 710 Birchwood Ave, Suite 203, Bellingham, WA 98225-1857 | 2006-07-05 |
| 1467490631 | Suprasad M Rao | Psychiatry & Neurology | 710 Birchwood Ave, Ste. 201, Bellingham, WA 98225-1720 | 2006-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578183729 | Family Care Network Pllc | Clinic/Center | 3548 Meridian St, Suite #101-b, Bellingham, WA 98225 | 2020-04-17 |
| 1770129264 | Ariella K Ross | Massage Therapist | 2701 Northwest Avenue, Bellingham, WA 98225 | 2019-11-20 |
| 1467006205 | Family Care Network, Pllc | Family Medicine | 805 W. Orchard Drive, Suite 6, Bellingham, WA 98225 | 2019-07-30 |
| 1487110375 | Rhonda Beth Steel | Massage Therapist | Fairhaven Harbor, 1310 9th Street Penthouse No. 504, Fairhaven/bellingham, WA 98225 | 2019-02-15 |
| 1366915316 | Alexander Knight Acupuncture Inc | Acupuncturist | 12 Bellwether Way, Suite 201, Bellingham, WA 98225 | 2019-01-02 |
| 1902372998 | Northwest Telepsychiatry, Pllc | Psychiatry & Neurology | 114 W. Magnolia St., Suite 505, Bellingham, WA 98225 | 2018-10-17 |
| 1639650336 | Jennifer Sue Cogen | Massage Therapist | 2701 Northwest Ave. (ohana Pacific, Inc.), Bellingham, WA 98225 | 2018-08-22 |
| 1013414036 | Tamara C Dee | Social Worker | 1313 E Maple St Ste 229, Bellingham, WA 98225 | 2018-04-06 |
| 1417468596 | Samantha Grace Smith | Counselor | 920 Harris Avenue, 202-e, Bellingham, WA 98225 | 2017-10-17 |
| 1710406731 | Shalom Maria Shreve | Counselor | 1133 Railroad Ave., Suite 100, Bellingham, WA 98225 | 2017-09-11 |
| Find all providers in zip 98225 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952852873 | Pacific Northwest Urology Specialists, Pllc | Clinic/Center | 3232 Squalicum Pkwy, Bellingham, WA 98225-1932 | 2016-10-14 |
| 1194047092 | Pacific Cataract and Laser Institute Inc PC | Clinic/Center | 4330 Mitchell Way, Bellingham, WA 98226 | 2010-02-18 |
| 1013243393 | Mt Baker Pain Clinic, P.s. | Clinic/Center | 4029 Northwest Ave Ste 303, Bellingham, WA 98226-9077 | 2009-10-21 |
| 1144370784 | Bellingham Ear Nose Throat and Facial Surgery Inc | Clinic/Center | 2940 Squalicum Pkwy Ste 203, Bellingham, WA 98225-1892 | 2007-01-12 |
| 1801989710 | Anthony S Karuza Dpm Ps Inc | Clinic/Center | 3120 Squalicum Pkwy, Bellingham, WA 98225-1934 | 2006-10-02 |
| 1184607061 | Pacific Rim Outpatient Surgery Center, Limited Liability Company | Clinic/Center | 3009 Squalicum Pkwy, Bellingham, WA 98225 | 2005-11-23 |
| 1043690126 | Bellingham Urology Group, Pllc | Clinic/Center | 340 Birchwood Ave, Bellingham, WA 98225-1782 | 2015-06-04 |
| 1457695116 | Sound Pain Alliance | Clinic/Center | 4029 Northwest Ave, Bellingham, WA 98226 | 2012-11-19 |
| 1205196649 | Mt Baker Surgery Center, LLC | Clinic/Center | 4029 Northwest Ave, Suite 301, Bellingham, WA 98226-9077 | 2012-05-18 |
| 1508176991 | Mark W. Sheafor, Dpm, Ps, Inc. | Clinic/Center | 3120 Squalicum Pkwy, Suite 2, Bellingham, WA 98225-1934 | 2010-10-19 |
| Find all providers in BELLINGHAM | ||||
| City | BELLINGHAM |
| Zip Code | 98225 |
Please comment or provide details below to improve the information on FOURTH CORNER NEUROSURGICAL ASSOCIATES INC PS.
| 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.