TWIN CITIES PAIN MANAGEMENT PC (NPI# 1598071771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598071771 |
Entity Type | Organization |
Organization Name | TWIN CITIES PAIN MANAGEMENT PC |
Practice Address |
1221 Highland Ave Clarkston WA 99403-2829 |
Mailing Address |
81 Clay St Apt 522 Seattle WA 98121-4120 |
Practice Telephone | 5097586132 |
Practice Fax Number | 5097519726 |
Mailing Telephone | 5097586132 |
Mailing Fax Number | 5097519726 |
Enumeration Date | 2010-08-25 |
Last Update Date | 2010-12-16 |
Authorized Official Name | DR. JOHN W MANNSCHRECK (OWNER) |
Authorized Official Telephone | 5097586132 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
Street Address |
1221 HIGHLAND AVE |
City | CLARKSTON |
State | WA |
Zip Code | 99403-2829 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760485221 | Tri-state Memorial Hospital | General Acute Care Hospital | 1221 Highland Ave, Clarkston, WA 99403-2829 | 2005-05-27 |
1861011983 | Nicole Marie Bishop | Occupational Therapist | 1221 Highland Ave, Clarkston, WA 99403-2829 | 2020-04-09 |
1164939500 | Emily Katherine Hunt | Health Educator | 1221 Highland Ave, Clarkston, WA 99403-2829 | 2018-01-08 |
1831542331 | Jennifer Raykovich | Dietitian, Registered | 1221 Highland Ave, Clarkston, WA 99403-2829 | 2016-07-20 |
1477904282 | Leah Hart | Dietitian, Registered | 1221 Highland Ave, Clarkston, WA 99403-2829 | 2016-06-23 |
1295186195 | Chelsey Marie Woods | Dietitian, Registered | 1221 Highland Ave, Clarkston, WA 99403-2829 | 2016-06-22 |
1679923767 | Trudy Bly | Registered Nurse | 1221 Highland Ave, Clarkston, WA 99403-2829 | 2016-06-20 |
1568812808 | Jennifer Brooke Lind | Dietitian, Registered | 1221 Highland Ave, Clarkston, WA 99403-2829 | 2016-06-17 |
1265849152 | Claudia-denise Haivas | Internal Medicine | 1221 Highland Ave, Clarkston, WA 99403-2829 | 2014-07-13 |
1073955266 | Healing Wings International Pllc | Internal Medicine | 1221 Highland Ave, Clarkston, WA 99403-2829 | 2013-07-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306409669 | Jessica Elaine Krull | Specialist/Technologist | 807 3rd Street, Clarkston, WA 99403 | 2019-04-22 |
1477006526 | Idaho County Rideshare | Non-emergency Medical Transport (VAN) | 1470 Elm Street, Clarkston, WA 99403 | 2016-07-25 |
1679921340 | Jonathan Preszler | Counselor | 629 6th Street, Educational and Psychological Services, Clarkston, WA 99403 | 2016-06-02 |
1104204957 | Optimal Health and Wellness | Clinic/Center | 1267 Belmont Way, Clarkston, WA 99403 | 2015-05-13 |
1326456351 | David Nygren | Pharmacist | 506 5th St, Clarkston, WA 99403 | 2014-07-22 |
1255672895 | Alpowa Healthcare, Inc. | Hospice Care, Community Based | 1370 Bridge Street, Clarkston, WA 99403 | 2013-03-06 |
1265799407 | Elizabeth Bagnulo Dacey | Pathology | 1225 Highland Avenue, Clarkston, WA 99403 | 2012-04-12 |
1649586256 | Zeeshan Afzal | Internal Medicine | 1119 Highland Ave Ste 3, Clarkston, WA 99403 | 2010-08-20 |
1154657955 | Twin River Vision, Inc. | Optometrist | 306 5th Street, Clarkston, WA 99403 | 2009-10-29 |
1649429317 | Elizabeth Marie Allen-racicot | Specialist | 1013 Bridge Street, Clarkston, WA 99403 | 2008-09-17 |
Find all providers in zip 99403 |
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 |
---|---|---|---|---|
1912917618 | Gary D Haas | Pain Medicine | 1119 Highland Ave Ste 11, Clarkston, WA 99403-2836 | 2006-08-08 |
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.