WASHINGTON CENTER FOR PAIN MANAGEMENT LLC (NPI# 1437437258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437437258 |
Entity Type | Organization |
Organization Name | WASHINGTON CENTER FOR PAIN MANAGEMENT LLC |
Practice Address |
1900 116th Ave Ne Suite 201 Bellevue WA 98004-3052 |
Mailing Address |
Po Box 827 Bellevue WA 98009-0827 |
Practice Telephone | 4257741538 |
Practice Fax Number | 4257745171 |
Mailing Telephone | 4257741538 |
Mailing Fax Number | 4257745171 |
Enumeration Date | 2011-07-27 |
Last Update Date | 2014-08-26 |
Authorized Official Name | DR. HYUN J HONG (OWNER / MEDICAL DIRECTOR) |
Authorized Official Telephone | 4257741538 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | PTAN | 6229050004 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194381905 | Washington Center for Pain Management LLC | Clinic/Center | 120 14th Ave Se Ste B, Puyallup, WA 98372-3718 | 2019-05-16 |
1659700730 | Washington Center for Pain Management LLC | Anesthesiology | 705 S 9th St Ste 102, Tacoma, WA 98405-4678 | 2013-11-08 |
1508473281 | Washington Center for Pain Management LLC | Pain Medicine | 2820 Northup Way Ste 245, Bellevue, WA 98004-1419 | 2020-09-28 |
1467846162 | Washington Center for Pain Management LLC | Anesthesiology | 922 S 348th St, Federal Way, WA 98003-7021 | 2015-03-20 |
1558751958 | Washington Center for Pain Management LLC | Anesthesiology | 11786 Sw Barnes Rd, Suite 270, Portland, OR 97225-5929 | 2015-01-23 |
1336539733 | Washington Center for Pain Management LLC | Anesthesiology | 1412 Sw 43rd St, Suite 110, Renton, WA 98057-4803 | 2015-01-23 |
1588067896 | Washington Center for Pain Management LLC | Anesthesiology | 1408 3rd St Se, 1st Floor, Puyallup, WA 98372-3702 | 2014-09-30 |
1295145019 | Washington Center for Pain Management LLC | Anesthesiology | 13126 120th Ave Ne, Kirkland, WA 98034-3014 | 2014-05-01 |
1215350814 | Washington Center for Pain Management LLC | Anesthesiology | 3305 Nassau St, Everett, WA 98201-4140 | 2014-02-03 |
1710300728 | Washington Center for Pain Management LLC | Anesthesiology | 1301 4th Ave Nw Ste 200, Issaquah, WA 98027-9371 | 2014-01-27 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oregon Corporations, Companies and Business Names | WASHINGTON CENTER FOR PAIN MANAGEMENT LLC | 12100 Northup Way, Bellevue, WA 98005 |
Street Address |
1900 116TH AVE NE SUITE 201 |
City | BELLEVUE |
State | WA |
Zip Code | 98004-3052 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134241888 | Arifulla - Khan | Psychiatry & Neurology | 1900 116th Ave Ne, Bellevue, WA 98004-3052 | 2007-04-04 |
1730622408 | Kristen King Skinner | Registered Nurse | 1900 116th Ave Ne, Ste 201, Bellevue, WA 98004-3013 | 2016-11-29 |
1689065476 | Optimo Anesthesia Pllc | Anesthesiology | 1900 116th Ave Ne, Bellevue, WA 98004-3052 | 2015-02-15 |
1508204736 | Washington Center for Pain Management, Pllc | Non-Pharmacy Dispensing Site | 1900 116th Ave Ne, Suite 201, Bellevue, WA 98004-3052 | 2013-06-10 |
1801135884 | Femme Clinique | Health Maintenance Organization | 1900 116th Ave Ne, Suite 200, Bellevue, WA 98004-3052 | 2013-02-11 |
1386918837 | Stephanie D. Woo | Chiropractor | 1900 116th Ave Ne, Suite 200, Bellevue, WA 98004-3052 | 2012-03-01 |
1578833489 | Washington Center for Pain Management LLC | Clinic/Center | 1900 116th Ave Ne, Suite 100, Bellevue, WA 98004-3052 | 2012-01-09 |
1255639878 | Washington Therapy Group, Inc. | Occupational Therapist | 1900 116th Ave Ne, Suite 200, Bellevue, WA 98004-3052 | 2011-03-07 |
1992997019 | Hilary Engelhardt | Orthotist | 1900 116th Ave Ne, Suite 210, Bellevue, WA 98004-3052 | 2007-08-13 |
1508058991 | Richard Wall | Orthotist | 1900 116th Ave Ne, Suite 210, Bellevue, WA 98004-3052 | 2007-08-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306458328 | Geneva Paula Hoskins-dorsey | Nurse Practitioner | 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 | 2020-08-20 |
1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
1356827828 | Seattle Spine Group, Pllc | Orthopaedic Surgery | 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2018-07-17 |
1669989216 | Atsuko Nakajima | Acupuncturist | 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 | 2018-01-04 |
1740794718 | Radka Chapin Counseling, LLC | Clinic/Center | 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 | 2017-11-28 |
1962912105 | Cuyler Ann Simmons | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 | 2017-10-02 |
1639690357 | Nicolas Lopez-montalvo | Behavioral Analyst | 3003 Northup Way Suite 200, Bellevue, WA 98004 | 2017-07-03 |
1124579537 | Matthew Thomas Haley | Pharmacist | 107 Bellevue Way, Se, Bellevue, WA 98004 | 2016-10-20 |
1649727348 | Kelsey Tanaka | Nurse Practitioner | 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 | 2016-09-10 |
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Taxonomy Code | 207LP2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Anesthesiology |
Specialization | Pain Medicine |
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740822139 | Bellevue Pain and Wellness Pllc | Anesthesiology | 14550 Ne 29th Pl Ste 230, Bellevue, WA 98007-3630 | 2019-10-17 |
1770588113 | David S Goodman | Anesthesiology | 2820 Northup Way, Ste 200, Bellevue, WA 98004-1498 | 2005-06-14 |
1134503675 | Acxel Health Pllc | Anesthesiology | 16460 Se 46th Ct, Bellevue, WA 98006-4740 | 2015-07-15 |
1962752378 | Lodestone Health, Pllc | Anesthesiology | 10900 Ne 4th St, Suite 2300, Bellevue, WA 98004-5873 | 2012-09-12 |
1649312695 | Northwest Pain Consultants Pllc | Anesthesiology | 1607 116th Ave Ne, Suite 102, Bellevue, WA 98004-3049 | 2007-02-13 |
1124089826 | Stuart L Dupen | Anesthesiology | 1135 116th Ave Ne, Suite 110b, Bellevue, WA 98004-4623 | 2006-03-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659700730 | Washington Center for Pain Management LLC | Anesthesiology | 705 S 9th St Ste 102, Tacoma, WA 98405-4678 | 2013-11-08 |
1629332895 | North Cascade Pain Management Ps | Anesthesiology | 340 E George Hopper Rd, Suite #1, Burlington, WA 98233 | 2012-07-02 |
1396044947 | Mind Your Body Clinic Pllc | Anesthesiology | 6900 E Greenlake Way N, Suite J, Seattle, WA 98103 | 2011-03-22 |
1205163771 | Pacific Pain Specialists | Anesthesiology | 22510 Se 64th Place, Suite 120, Issaquan, WA 98027 | 2009-11-04 |
1528228103 | Jared Paul Wagner | Anesthesiology | 636 Valley Mall Pkwy Ste 5, Wenatchee, WA 98802-4898 | 2008-06-17 |
1053585802 | Jordan Graham Graybill | Anesthesiology | 920 Ne 112th Ave Ste 104, Vancouver, WA 98684 | 2008-04-14 |
1780754499 | T Daniel Dibble Md PC | Anesthesiology | 1117 North Evergreen Rd, Suite 2, Spokane, WA 99216-1138 | 2006-11-09 |
1508936212 | Timothy Daniel Dibble | Anesthesiology | 1117 N Evergreen Rd Ste 2, Spokane Valley, WA 99216-1138 | 2006-11-09 |
1053499608 | Kathy I-wen Wang | Anesthesiology | 1519 3rd St Se Ste 101, Puyallup, WA 98372-3742 | 2006-11-01 |
1114017068 | Brendan Rhodes O'donnell | Anesthesiology | 21616 76th W Ave, Suite 209, Edmonds, WA 98026-7512 | 2006-10-13 |
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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.