DISRUPTION HEALTHCARE PLLC - NPI 1316715295 - Family Medicine in Richland, WA

Q: What is Disruption Healthcare PLLC's NPI number?

The NPI number for Disruption Healthcare PLLC is 1316715295. It was assigned to this organization in the NPPES registry on December 19, 2023. The provider is doing business as Complex Care Center PLLC.

Q: What is Disruption Healthcare PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

On this page

About Disruption Healthcare Pllc NPPES

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

DISRUPTION HEALTHCARE PLLC (NPI 1316715295), doing business as Complex Care Center Pllc, is a healthcare organization registered as a family medicine in Richland, Washington and active in the NPI registry since December 2023. The organization maintains a secondary practice location in Richland and lists Joseph Gaytan, Revenue Cycle Manager, as its authorized official.

NPPES Registry Identity

NPI1316715295

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameDISRUPTION HEALTHCARE PLLC

Location Address969 STEVENS DR STE 3ARichland, WA 99352-3558

Mailing Address969 Stevens Dr Ste 3aRichland, WA 99352-3558 · (509) 713-1315

Phone(509) 713-1315

Organization SubpartNo

Authorized OfficialJoseph GaytanRevenue Cycle Manager · (509) 713-1315

Enumeration DateDecember 19, 2023

Last NPPES UpdateApril 16, 20263 updates tracked since enumeration

NPPES CertifiedApril 16, 2026

✔ NPI 1316715295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

969 STEVENS DR STE 3A, Richland, WA 99352

Open in Google Maps ↗

Other Names 1

Doing Business AsComplex Care Center Pllc

Secondary Practice Location 1

Location 1969 Stevens Dr Ste 1CRichland, WA 99352-3557 · Phone (509) 713-1315

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 Premera Blue Cross Blue Shield of Alaska.Insurance ›

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY L. HOGER PA-C

Physician Assistant