SOUND PAIN ALLIANCE (NPI# 1053431684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053431684 |
| Entity Type | Organization |
| Organization Name | SOUND PAIN ALLIANCE |
| Other Organization Name | PUGET SOUND PAIN CLINIC |
| Practice Address |
11306 Bridgeport Way Sw #d Lakewood WA 98499-3037 |
| Mailing Address |
Po Box 39324 Lakewood WA 98496-3324 |
| Practice Telephone | 2539839390 |
| Practice Fax Number | 2539830066 |
| Mailing Telephone | 2539839390 |
| Mailing Fax Number | 2539830066 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2019-07-22 |
| Authorized Official Name | ERIKA STUIT (ADMINISTRATOR) |
| Authorized Official Telephone | 3607520518 |
| Is Organization Subpart | Y |
| Parent Organization Name | PUGET SOUND PAIN CLINIC, P.S. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
OP00001595 | WA | Allopathic & Osteopathic Physicians |
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| N | 261QP3300X |
Clinic/Center Specialization: Pain |
OP00001595 | WA | Ambulatory Health Care Facilities |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7121882 | 05 |
| Other Name | Type Code |
|---|---|
| Puget Sound Pain Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659807584 | Sound Pain Alliance | Clinic/Center | 16410 Smokey Point Blvd Ste 210, Arlington, WA 98223-8415 | 2017-05-11 |
| 1306218284 | Sound Pain Alliance | Pain Medicine | 17615 Se 272nd St Ste 109, Covington, WA 98042-4957 | 2015-10-30 |
| 1740666411 | Sound Pain Alliance | Pain Medicine | 9927 Mickelberry Rd Nw Ste 101, Silverdale, WA 98383-7861 | 2015-08-05 |
| 1518354752 | Sound Pain Alliance | Pain Medicine | 7200 S 180th St Ste 102, Tukwila, WA 98188-5548 | 2015-04-24 |
| 1538405709 | Sound Pain Alliance | Clinic/Center | 340 E George Hopper Road, Suite #1, Burlington, WA 98233-3154 | 2012-12-17 |
| 1184680498 | Sound Pain Alliance | Anesthesiology | 2601 Cherry Ave Ste 200, Bremerton, WA 98310-4208 | 2006-04-25 |
| 1649776394 | Sound Pain Alliance | Clinic/Center | 4029 Northwest Ave Ste 301, Bellingham, WA 98226-9077 | 2018-04-02 |
| 1457695116 | Sound Pain Alliance | Clinic/Center | 4029 Northwest Ave, Bellingham, WA 98226 | 2012-11-19 |
| 1326308982 | Sound Pain Alliance | Clinic/Center | 4029 Northwest Ave, Bellingham, WA 98226-9077 | 2012-05-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | SOUND PAIN ALLIANCE, PLLC | 4029 Northwest Ave, #301, Bellingham, WA 98226-9077 |
| Street Address |
11306 BRIDGEPORT WAY SW #D |
| City | LAKEWOOD |
| State | WA |
| Zip Code | 98499-3037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124009303 | Kyong Ho Kim | Pain Medicine | 11306 Bridgeport Way Sw, Suite D, Lakewood, WA 98499-3037 | 2005-11-07 |
| 1013311679 | Paul Bradley | Physician Assistant | 11306 Bridgeport Way Sw, Ste D, Lakewood, WA 98499-3037 | 2014-10-10 |
| 1982855995 | Bridgeport Medical Clinic Pllc | Clinic/Center | 11306 Bridgeport Way Sw, Suite B, Lakewood, WA 98499-3037 | 2008-10-08 |
| 1215023940 | Lakewood Surgical Urology Ps | Urology | 11306 Bridgeport Way Sw, Suite D, Lakewood, WA 98499-3005 | 2006-10-04 |
| 1669586087 | Dennis Jooyoung Kim | Internal Medicine | 11306 Bridgeport Way Sw, Suite B, Lakewood, WA 98499-3037 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275159592 | Sea Mar Community Health Centers | Clinic/Center | 5700 100th Street Se, Suite 510, Lakewood, WA 98499 | 2020-06-23 |
| 1568018828 | Heather Leigh Andrade | Behavioral Analyst | 6210 75th St W Ste 100, Lakewood, WA 98499 | 2019-08-13 |
| 1043870876 | Seoul Chinese Herbs Inc | Acupuncturist | 8705 S. Tacoma Way, Lakewood, WA 98499 | 2019-06-14 |
| 1013572064 | Puget Sound Kidney Centers | Clinic/Center | 11950 47th Ave Sw, Lakewood, WA 98499 | 2019-05-06 |
| 1447736657 | Marcela Cunan | Counselor | 9330 59th Avenue Southest, Lakewood, WA 98499 | 2018-07-11 |
| 1609382381 | Leroy Moore IIi | Counselor | 8811 S. Tacoma Way, 106, Lakewood, WA 98499 | 2017-12-18 |
| 1578077657 | Andrea Gaston | Behavior Technician | 8815 S. Tacoma Way, Suite 122, Lakewood, WA 98499 | 2017-11-27 |
| 1609389931 | Jennifer King | Social Worker | 5900 100th St Sw Ste 17b, Lakewood, WA 98499 | 2017-11-08 |
| 1750806337 | Wonyoung Lee | Counselor | 8811 South Tacoma Way, Suite 106, Lakewood, WA 98499 | 2017-08-04 |
| 1043749443 | Frederick Paltron Edwards | Counselor | 9500 Front Street, Suite 100, Lakewood, WA 98499 | 2017-06-08 |
| Find all providers in zip 98499 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912053570 | Belmar Ambulatory Surgical Center, LLC | Clinic/Center | 325 S Teller St Ste 200, Lakewood, CO 80226-7389 | 2007-01-26 |
| 1013427004 | Aileen Leslie Wedvik Arnp Pllc | Clinic/Center | 4909 108th St Sw, Lakewood, WA 98499-3724 | 2017-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114410495 | Advanced Pain Care Ps | Clinic/Center | 300 Lilly Rd Ne Ste C, Olympia, WA 98506-5428 | 2018-06-11 |
| 1689912859 | Seattle Pain and Wellness Institute | Clinic/Center | 4701 41st Ave., Sw, Suite 120, Seattle, WA 98116 | 2013-01-23 |
| 1669742714 | B Fit Preventive Care Clinic | Clinic/Center | 1715 Pacific Ave N, Suite B, Long Beach, WA 98631-3604 | 2012-01-06 |
| 1053531780 | Doctors Osteopathic Care | Clinic/Center | 9629 Evergreen Way Ste 102, Everett, WA 98204-7169 | 2007-04-26 |
| 1386751774 | United Backcare Ps | Clinic/Center | 126 15th St Se, Puyallup, WA 98372-3409 | 2006-08-23 |
| 1568579944 | United Backcare Ps | Clinic/Center | 9617 7th Ave Se, Everett, WA 98208-3710 | 2006-08-23 |
| 1023125499 | United Backcare Ps | Clinic/Center | 2515 140th Ave Ne, Ste E110, Bellevue, WA 98005-1862 | 2006-08-23 |
| 1902420326 | Sound Pain Alliance Pllc | Clinic/Center | 120 14th Ave Se Ste D, Puyallup, WA 98372-3718 | 2020-06-01 |
| 1134684079 | John R Quigley Jr. | Clinic/Center | 129 176th St S, Spanaway, WA 98387-4616 | 2019-02-05 |
| 1376034694 | Serendib Pain Care Pllc | Clinic/Center | 2312 Ne 129th St, Vancouver, WA 98686-3236 | 2018-05-22 |
| Find all providers with the same taxonomy | ||||
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| 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.