WASHINGTON CENTER FOR PAIN MANAGEMENT LLC (NPI# 1336539733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336539733 |
| Entity Type | Organization |
| Organization Name | WASHINGTON CENTER FOR PAIN MANAGEMENT LLC |
| Practice Address |
1412 Sw 43rd St Suite 110 Renton WA 98057-4803 |
| 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 | 2015-01-23 |
| Last Update Date | 2015-06-02 |
| Authorized Official Name | JAE LEE (CEO) |
| Authorized Official Telephone | 4257741538 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | DME PTAN | 6229050010 | 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 |
| 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 |
| 1124463864 | Washington Center for Pain Management LLC | Pain Medicine | 6323 111th St Sw, Lakewood, WA 98499-1303 | 2013-05-08 |
| 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 |
1412 SW 43RD ST SUITE 110 |
| City | RENTON |
| State | WA |
| Zip Code | 98057-4803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487654331 | N W Eye Surgeons P C | Ophthalmology | 1412 Sw 43rd St, Suite 310, Renton, WA 98057-4803 | 2005-07-21 |
| 1568085454 | Jacqueline R. Buckley, LLC | Podiatrist | 1412 Sw 43rd St, Renton, WA 98057-4803 | 2020-05-26 |
| 1184191603 | Pacific Retina Center Pllc | Ophthalmology | 1412 Sw 43rd St, Renton, WA 98057-4803 | 2018-11-01 |
| 1336690684 | Geoffrey Natividad | Pharmacist | 1412 Sw 43rd St, 120, Renton, WA 98057-4803 | 2016-10-21 |
| 1386195048 | Reddi Enterprises Inc | Pharmacy | 1412 Sw 43rd St, 120, Renton, WA 98057-4803 | 2016-10-18 |
| 1417405333 | Evergreen Treatment Services | Clinic/Center | 1412 Sw 43rd St, Suite 140, Renton, WA 98057-4803 | 2016-09-20 |
| 1396192803 | Concerto Medical Group of Washington, PC | General Practice | 1412 Sw 43rd St, Suite 315, Renton, WA 98057-4803 | 2016-05-16 |
| 1225421688 | Associated Valley Counseling, LLC | Counselor | 1412 Sw 43rd St, Suite 111, Renton, WA 98057-4803 | 2015-03-10 |
| 1649660853 | Lauren Rainbow | Social Worker | 1412 Sw 43rd St, Renton, WA 98057-4803 | 2015-01-26 |
| 1083022537 | Timothy Stewart | Counselor | 1412 Sw 43rd St, Suite 111, Renton, WA 98057-4803 | 2014-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043856628 | Megan Ramaiya | Student in an Organized Health Care Education/Training Program | King Count Sexual Assault & Resource Center, 200 Mill Ave S # 10, Renton, WA 98057 | 2019-11-19 |
| 1063076255 | Breanne Michele Smiley | Specialist/Technologist | 737 Logan Ave N, Renton, WA 98057 | 2019-04-24 |
| 1093215063 | Laura Lewis | Physical Medicine & Rehabilitation | 1000 Oakesdale Ave Sw Ste 100, Renton, WA 98057 | 2018-02-16 |
| 1437676004 | Ralph William Papke Jr. | Counselor | Kaiser Permanente of Wa, 1200 Sw 27th St, Renton, WA 98057 | 2017-08-24 |
| 1487106456 | Serengeti Care Partners LLC | Community/Behavioral Health | 707 S- Grady Way, Suite 6008, Renton, WA 98057 | 2016-10-26 |
| 1548716152 | Phandinh Ngoc Nguyen | Naturopath | 330 Sw 43rd St,suite L, Renton, WA 98057 | 2016-09-01 |
| 1275905721 | Todd R Glass | Chiropractor | 1024 N 10th Pl #2306, Renton, WA 98057 | 2015-10-23 |
| 1134595341 | Have A Heart | Case Management | 151 Taylor Ave Nw, Renton, WA 98057 | 2015-08-12 |
| 1780087171 | Brianne N Lefferts | Physical Therapist | 300 Sw 7th Street, Renton, WA 98057 | 2014-09-30 |
| 1588089460 | Sound Association Western Washington LLC | Audiologist | 108 Factory Ave. N., Ste 2b, Renton, WA 98057 | 2014-02-28 |
| Find all providers in zip 98057 | ||||
| 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 |
|---|---|---|---|---|
| 1902917164 | Jianping Sun | Anesthesiology | 4500 Ne Sunset Blvd, Suite D, Renton, WA 98059-4054 | 2006-08-31 |
| 1396131975 | Caroline Alexandra Harstroem | Anesthesiology | 801 Sw 16th St Ste 121, Renton, WA 98057-2628 | 2015-04-10 |
| 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 |
| 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 |
| 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.