1. Home
  2. Directory
  3. Washington
  4. Longview
  5. Orthopaedic Surgery
  6. NPI Profile

LONGVIEW ORTHOPEDIC ASSOCIATES, PLLC
NPI 1003865072
Orthopaedic Surgery in Longview, WA

Active since May 08, 2006
625 - 9TH AVE., STE. 210, LONGVIEW, WA 98632(360) 501-3400(360) 423-6862 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 3, 2025, Apr 6, 2022 (2 updates tracked since 2022).

About Longview Orthopedic Associates, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LONGVIEW ORTHOPEDIC ASSOCIATES, PLLC (NPI 1003865072) is a healthcare organization registered as an orthopaedic surgery in Longview, Washington and active in the NPI registry since May 2006. The organization lists Bruce Gragg Blackstone, Owner Partner, as its authorized official.

NPPES Registry Identity

NPI1003865072
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameLONGVIEW ORTHOPEDIC ASSOCIATES, PLLC
Location Address625 - 9TH AVE., STE. 210Longview, WA 98632-2465
Mailing Address625 - 9th Ave., Ste. 210Longview, WA 98632-2465 · (360) 501-3400 · Fax (360) 423-6862
Phone(360) 501-3400
Fax(360) 423-6862
Organization SubpartNo
Authorized OfficialBruce Gragg BlackstoneOwner Partner · (360) 501-3400
Enumeration DateMay 8, 2006
Last NPPES UpdateMarch 3, 20252 updates tracked since enumeration
NPPES CertifiedMarch 3, 2025
✔ NPI 1003865072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
625 - 9TH AVE., Longview, WA 98632
Open in Google Maps ↗

Other Identifiers 5

Other0198037WA · Labor & Industries
Medicaid7127632WA
Medicaid269896OR
OtherDD4041WA · Railroad Medicare
Other5445810001WA · Cigna Dme

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Longview Orthopedic Associates, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

15

Medicare enrollment records show 15 clinicians reassign Medicare billing to Longview Orthopedic Associates, PLLC, which bills Medicare for the services they deliver. Of these, 12 practice at this address and 13 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Orthopedic Surgery8
Nurse Practitioner5
Hand Surgery1
Podiatry1

Clinicians, nearest first (15)

Cristy Auckland, ARNP
Nurse Practitioner
NPI 1922835156
625 9TH AVE STE 210
Longview, WA 98632
(360) 501-3400
✔ PECOS✔ Accepts MedicareSame address
Ashley Hawkes, ARNP
Nurse Practitioner
NPI 1407402845
625 9TH AVE STE 210
Longview, WA 98632
(360) 501-3400
✔ PECOS✔ Accepts MedicareSame address
Peter Kung, M.D.
Orthopedic Surgery
NPI 1225169279
625 9TH AVE STE 210
Longview, WA 98632
(360) 501-3400
✔ PECOS✔ Accepts MedicareSame address
Anthony Lauder, MD
Hand Surgery
NPI 1316990088
625 9TH AVE STE 210
Longview, WA 98632
(360) 501-3400
✔ PECOS✔ Accepts MedicareSame address
Tiffany Liu
Orthopedic Surgery
NPI 1528562964
625 9TH AVE STE 210
Longview, WA 98632
(415) 476-6548
✔ PECOS✔ Accepts MedicareSame address
William Turner, M.D.
Orthopedic Surgery
NPI 1225003213
625 9TH AVE STE 210
Longview, WA 98632
(360) 501-3400
✔ PECOSSame address
Nichol Halverson, ARNP
Nurse Practitioner
NPI 1033540919
625 9TH AVE STE 210
Longview, WA 98632
(360) 501-3400
✔ PECOSSame address
Ansab Khwaja, MD PC
Orthopedic Surgery
NPI 1366896797
625 9TH AVE STE 210
Longview, WA 98632
(360) 501-3400
✔ PECOS✔ Accepts MedicareSame address
Herbert Mao, DO
Orthopedic Surgery
NPI 1063075067
625 9TH AVE STE 210
Longview, WA 98632
(360) 501-3400
✔ PECOS✔ Accepts MedicareSame address
Jacob Mcleod, DPM
Podiatry
NPI 1083909329
625 9TH AVE STE 210
Longview, WA 98632
(360) 501-3400
✔ PECOS✔ Accepts MedicareSame address
Jon Kretzler, M.D.
Orthopedic Surgery
NPI 1417922840
625 9TH AVE STE 210
Longview, WA 98632
(360) 501-3400
✔ PECOSSame address
Tony Lin, M.D.
Orthopedic Surgery
NPI 1043414741
625 9TH AVE STE 210
Longview, WA 98632
(360) 501-3400
✔ PECOS✔ Accepts MedicareSame address
Corey Strand, NP
Nurse Practitioner
NPI 1780359844
12 JEFFERY PL
Longview, WA 98632
(360) 747-3399
✔ PECOS2.1 mi
Acacia Syring, FNP-C
Nurse Practitioner
NPI 1326477365
2525 NE 139TH ST STE 140
Vancouver, WA 98686
(360) 882-2778
✔ PECOS✔ Accepts Medicare31 mi
Jason Kinney, M.D.
Orthopedic Surgery
NPI 1114458932
1 MEDICAL CENTER DR RM 3702
Morgantown, WV 26506
(304) 293-1168
✔ PECOS✔ Accepts Medicare2,199 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Longview Orthopedic Associates, PLLC's NPI number?

The NPI number for Longview Orthopedic Associates, PLLC is 1003865072. It was assigned to this organization in the NPPES registry on May 8, 2006.

Where is Longview Orthopedic Associates, PLLC located?

Longview Orthopedic Associates, PLLC is located at 625 - 9th Ave. Ste. 210, Longview, WA 98632. The listed phone number is (360) 501-3400.

What is Longview Orthopedic Associates, PLLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Longview Orthopedic Associates, PLLC enrolled in Medicare?

Yes. Longview Orthopedic Associates, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Longview Orthopedic Associates, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 4 Medicare specialties reassign their Medicare billing to Longview Orthopedic Associates, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Orthopedic Surgery (8), Nurse Practitioner (5) and Hand Surgery (1). Of these, 12 practice at this address and 13 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Longview Orthopedic Associates, PLLC accept?

Health plans from Kaiser Permanente, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Longview Orthopedic Associates, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Longview Orthopedic Associates, PLLC was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.