WASHINGTON CENTER FOR PAIN MANAGEMENT PLLC (NPI# 1992335541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992335541 |
Entity Type | Organization |
Organization Name | WASHINGTON CENTER FOR PAIN MANAGEMENT PLLC |
Practice Address |
3426 Broadway Ste 101 Everett WA 98201-5098 |
Mailing Address |
Po Box 827 Bellevue WA 98009-0827 |
Practice Telephone | 4257741538 |
Practice Fax Number | 8887189625 |
Mailing Telephone | 4257741538 |
Mailing Fax Number | 8887189625 |
Enumeration Date | 2020-01-23 |
Last Update Date | 2020-01-23 |
Authorized Official Name | PHUONG NGUYEN (CREDENTIALING SPECIALIST) |
Authorized Official Telephone | 4257741538 |
Is Organization Subpart | Y |
Parent Organization Name | WASHINGTON CENTER FOR PAIN MANAGEMENT PLLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801450952 | Washington Center for Pain Management Pllc | Clinic/Center | 5602 Ruddell Rd Se Ste A, Lacey, WA 98503-5163 | 2019-04-24 |
1295258697 | Washington Center for Pain Management Pllc | Clinic/Center | 155 Lilly Rd Ne Ste 2, Olympia, WA 98506-5028 | 2017-07-18 |
1215464979 | Washington Center for Pain Management Pllc | Clinic/Center | 155 Lilly Rd Ne, Suite 2, Olympia, WA 98506-5028 | 2017-05-12 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Washington State Corporations | WASHINGTON CENTER FOR PAIN MANAGEMENT PLLC | 1900 116th Ave Ne, Ste 100, Bellevue, WA 98004-3013 |
Street Address |
3426 BROADWAY STE 101 |
City | EVERETT |
State | WA |
Zip Code | 98201-5098 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255481651 | James Michael Earle | Chiropractor | 3426 Broadway Ste 101, Everett, WA 98201-5098 | 2007-01-10 |
1992281869 | Center for Wellness and Pain Care of Las Vegas Inc | Pain Medicine | 3426 Broadway Ste 101, Everett, WA 98201-5098 | 2018-07-13 |
1538667795 | Center for Wellness and Pain Care of Washington | Anesthesiology | 3426 Broadway Ste 101, Everett, WA 98201-5098 | 2018-01-23 |
1417317355 | Megan Michelle Wright | Massage Therapist | 3426 Broadway Ste 101, Everett, WA 98201-5098 | 2016-03-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306471867 | Shannon Michelle Dewald | Registered Nurse | D8s 1700 13th St, Everett, WA 98201 | 2020-03-05 |
1578123113 | Precious Medicial Spa, LLC | Registered Nurse | 1728 W. Marine View Dr Suite 212, Everett, WA 98201 | 2019-06-17 |
1508429796 | Alix Deschain | Counselor | 2801 Broadway, Everett, WA 98201 | 2019-04-15 |
1811457534 | Khushboo Patel | Pharmacist | 1330 Rockefeller Ave Ste 150, Everett, WA 98201 | 2019-03-20 |
1164991188 | Grace Talbot Davis | Registered Nurse | 2601 Summit Avenue, Bldg. C, Everett, WA 98201 | 2018-11-20 |
1063924603 | Tracy Sisk | Counselor | 3120 Colby Ave, 502, Everett, WA 98201 | 2017-11-03 |
1710403126 | Michelle Durham | Counselor | 3322 Boadway Fl 2, Everett, WA 98201 | 2017-08-17 |
1861927949 | Melanie Schmidt | Counselor | 2610 Westmore Ave, Everett, WA 98201 | 2017-04-26 |
1518413327 | Joseph Madson Dmd Pllc | Clinic/Center | 3802 Colby Ave, 4th Floor, Everett, WA 98201 | 2016-08-31 |
1043683162 | Jennifer Adams | Counselor | 1511 26th St, Everett, WA 98201 | 2015-11-11 |
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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 |
---|---|---|---|---|
1114528056 | Washington Center for Pain Management | Pain Medicine | 607 Se Everett Mall Way Ste 2, Everett, WA 98208-3210 | 2020-11-06 |
1992281869 | Center for Wellness and Pain Care of Las Vegas Inc | Pain Medicine | 3426 Broadway Ste 101, Everett, WA 98201-5098 | 2018-07-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
1912917618 | Gary D Haas | Pain Medicine | 1119 Highland Ave Ste 11, Clarkston, WA 99403-2836 | 2006-08-08 |
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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.