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CASCADE INTERNAL MEDICINE PS NPI 1700853983


NPI Information

NPI: 1700853983
Provider Name: CASCADE INTERNAL MEDICINE PS

Other Name: JOHN DANIEL WANWIG MD

Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
1901 SO UNION
ALLENMORE MEDICAL CENTER STE A305
TACOMA, WA
ZIP 98405
Phone: (253) 272-3031
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CASCADE INTERNAL MEDICINE PS is a psychiatry psychiatry neurology in Tacoma, WA. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. CASCADE INTERNAL MEDICINE PS NPI is 1700853983. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is John Daniel Wanwig Md.

The provider's business location address is:

1901 SO UNION
ALLENMORE MEDICAL CENTER STE A305
TACOMA, WA
ZIP 98405
Phone: (253) 272-3031
Fax: (253) 272-9449

The provider's authorized official is John Daniel Wanwig .
The authorized official title is Physician President and has the following contact phone number (253) 272-3031.

The enumeration date for this NPI number is 3/7/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0800XPsychiatry & NeurologyPsychiatry12582WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11047786MEDICAIDWASHINGTON
2WA7229OTHERREGENCE
321793OTHERWASHINGTONLABOR & INDUSTRIES
41300029OTHERMEDICAID MEDICAL
58914379OTHERCRIME VICTIMS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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