FOURTH CORNER NEUROSURGICAL ASSOCIATES INC PS (NPI# 1699846386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699846386 |
| Entity Type | Organization |
| Organization Name | FOURTH CORNER NEUROSURGICAL ASSOCIATES INC PS |
| Other Organization Name | CASCADE OUTPATIENT SPINE CENTER |
| Practice Address |
710 Birchwood Ave #101 Bellingham WA 98225-1720 |
| Practice Telephone | 3606760922 |
| Practice Fax Number | 3606714726 |
| Mailing Telephone | 3606760922 |
| Mailing Fax Number | 3606714726 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2016-05-18 |
| Authorized Official Name | DEBORAH SUE GORMLEY (GENERAL MANAGER) |
| Authorized Official Telephone | 3606762628 |
| Is Organization Subpart | Y |
| Parent Organization Name | FOURTH CORNER NEUROSURGICAL ASSOCIATES INC PS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | Other Service Providers | ||
| Y | 207T00000X | Neurological Surgery | WA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Cascade Outpatient Spine Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275938102 | Fourth Corner Neurosurgical Associates Inc Ps | Clinic/Center | 710 Birchwood Ave, Suite 101, Bellingham, WA 98225-1720 | 2014-11-04 |
| Street Address |
710 BIRCHWOOD AVE #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 |
| 1275938102 | Fourth Corner Neurosurgical Associates Inc Ps | Clinic/Center | 710 Birchwood Ave, Suite 101, Bellingham, WA 98225-1720 | 2014-11-04 |
| 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 |
| 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 | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427406883 | Fourth Corner Neurosurgical Associates | Neurological Surgery | 710 Birchwood Ave Ste 101, Bellingham, WA 98225-1720 | 2016-05-26 |
| 1144291436 | Michael Scott Lawrence | Neurological Surgery | 710 Birchwood Ave, Suite 101, Bellingham, WA 98225-1720 | 2006-01-27 |
| 1902020738 | Tung Mai Ha | Neurological Surgery | 710 Birchwood Ave, Ste 101, Bellingham, WA 98225-1720 | 2007-04-12 |
| 1467424333 | David Edward Baker | Neurological Surgery | 710 Birchwood Ave, Suite 101, Bellingham, WA 98225-1720 | 2006-02-06 |
| 1053382671 | Barry Jay Landau | Neurological Surgery | 710 Birchwood Ave, Suite 101, Bellingham, WA 98225-1720 | 2006-01-31 |
| 1912978560 | David L. Goldman | Neurological Surgery | 710 Birchwood Ave, #101, Bellingham, WA 98225-1720 | 2006-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306311386 | David W. Newell M.d. P.s. | Neurological Surgery | 1370 116th Ave Ne Ste 105, Bellevue, WA 98004-3825 | 2018-10-05 |
| 1891243820 | Kiana Uylukcu | Neurological Surgery | Medex Northwest, 4311 11th Avenue Ne, Suite 200, Seattle, WA 98105-3007 | 2016-09-19 |
| 1346691953 | James M Blue | Neurological Surgery | 4882 Forest Ave S.e., Mercer Island, WA 98040 | 2016-06-24 |
| 1659618510 | Antonio A Moure | Neurological Surgery | 1521 2nd Ave, Apartment 1400, Seattle, WA 98101-4500 | 2013-01-12 |
| 1699033894 | Calvin Curtis Whaley | Neurological Surgery | 550 17th Ave Ste 110, Seattle, WA 98122-5789 | 2012-04-25 |
| 1760752240 | David Elbert Grayson | Neurological Surgery | 17625 Se 45th Pl, Bellevue, WA 98006-6520 | 2011-12-30 |
| 1366734063 | Northwest Spine, Pllc | Neurological Surgery | 1017 S 40th Ave, Yakima, WA 98908-3805 | 2011-05-12 |
| 1396050845 | Vincent Edward Bryan Jr. | Neurological Surgery | 342 Silica Rd Nw, Quincy, WA 98848-9468 | 2010-08-09 |
| 1760636690 | Providence Health & Services - Washington | Neurological Surgery | 301 W Poplar Street, Ste 220, Walla Walla, WA 99362-2800 | 2008-11-05 |
| 1649420019 | Wa-spok Medical Care LLC | Neurological Surgery | 801 W Fifth Ave, Suite 422, Spokane, WA 99204-2841 | 2008-09-23 |
| Find all providers with the same taxonomy | ||||
| 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.