JAISIMHA K IYENGAR (NPI# 1194770164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194770164 |
| Entity Type | Individual |
| Full Name | JAISIMHA K IYENGAR |
| Credential | MD |
| Practice Address |
1818 S Union Ave Ste 1a Tacoma WA 98405-1953 |
| Mailing Address |
Po Box 111750 Tacoma WA 98411-1750 |
| Practice Telephone | 2536272666 |
| Practice Fax Number | 2536278661 |
| Mailing Telephone | 2536272666 |
| Mailing Fax Number | 2536278661 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
MD00036006 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
1818 S UNION AVE STE 1A |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-1953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104814284 | Laural Janet Schaberg | Nurse Practitioner | 1818 S Union Ave, Suite 2a, Tacoma, WA 98405-1953 | 2005-10-12 |
| 1821453424 | Jennifer M Coates, Pllc | Clinic/Center | 1818 S Union Ave, Tacoma, WA 98405-1953 | 2015-12-23 |
| 1023431095 | Prideaux-blodgett LLC | Nurse Practitioner | 1818 S Union Ave, Suite 2a, Tacoma, WA 98405-1953 | 2014-01-28 |
| 1700145869 | Copper Creek Medical, Inc. | Durable Medical Equipment & Medical Supplies | 1818 S Union Ave, Suite 2b, Tacoma, WA 98405-1953 | 2012-05-10 |
| 1750659462 | Jennifer M. Coates | Nurse Practitioner | 1818 S Union Ave, Tacoma, WA 98405-1953 | 2011-12-08 |
| 1558683797 | Stephanie Giaquinto | Audiologist | 1818 S Union Ave, Suite 2c, Tacoma, WA 98405-1953 | 2010-02-15 |
| 1336390061 | Marianne Hevly Norden Otr/l, Cht Pllc | Occupational Therapist | 1818 S Union Ave, Suite 1b, Tacoma, WA 98405-1953 | 2008-09-30 |
| 1619042280 | Erin M. Duffy | Occupational Therapist | 1818 S Union Ave, Suite 1b, Tacoma, WA 98405-1953 | 2006-11-21 |
| 1003869132 | Marianne Hevly Norden | Occupational Therapist | 1818 S Union Ave, St 1b, Tacoma, WA 98405-1953 | 2006-05-18 |
| 1033176003 | Keith Michael Reagan | Physical Therapist | 1818 S Union Ave, Suite 1b, Tacoma, WA 98405-1953 | 2006-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558376335 | Cascade Interventional Pain Center Pllc | Pain Medicine | 1818 S Union, Suite 1 A, Tacoma, WA 98405 | 2006-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528056 | Washington Center for Pain Management | Pain Medicine | 607 Se Everett Mall Way Ste 2, Everett, WA 98208-3210 | 2020-11-06 |
| 1972080703 | Pain Management Partner LLC | Pain Medicine | 421 W Riverside Ave Ste 900, Spokane, WA 99201-0418 | 2018-07-24 |
| 1134638281 | Vtc Vitality Healthcare | Pain Medicine | 12409 E Mission Ave Ste 102, Spokane Valley, WA 99216 | 2017-09-20 |
| 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 |
| 1457732315 | Summit Healthcare Alliance Pllc | Pain Medicine | 12100 Northup Way, Bellevue, WA 98005-1920 | 2015-06-16 |
| 1518354752 | Sound Pain Alliance | Pain Medicine | 7200 S 180th St Ste 102, Tukwila, WA 98188-5548 | 2015-04-24 |
| 1861739294 | Puget Sound Pain Clinic Ps | Pain Medicine | 7200 S 180th St, Suite 102, Tukwila, WA 98188-5548 | 2013-01-04 |
| 1740434356 | Pinnacle Pain Center, Ps | Pain Medicine | 7401 W Hood Place, Suite 200, Kennewick, WA 99336-3400 | 2008-11-10 |
| 1467545210 | David A Velling | Pain Medicine | 350 S 333rd St, Federal Way, WA 98003-6321 | 2006-10-02 |
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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.