SEATTLE PAIN CENTER MEDICAL CORPORATION (NPI# 1346657293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346657293 |
| Entity Type | Organization |
| Organization Name | SEATTLE PAIN CENTER MEDICAL CORPORATION |
| Other Organization Name | SEATTLE PAIN CENTER |
| Practice Address |
20696 Bond Rd Ne Bldg C-205 Poulsbo WA 98370-9025 |
| Mailing Address |
801 Sw 16th St. Ste. 121 Renton WA 98057-2628 |
| Practice Telephone | 3609303100 |
| Practice Fax Number | 3606333137 |
| Mailing Telephone | 2068058885 |
| Mailing Fax Number | 2068058886 |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2016-05-19 |
| Authorized Official Name | FRANK LI (CEO/OWNER) |
| Authorized Official Telephone | 2068058885 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | SEATTLE PAIN CENTER MEDICAL CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Seattle Pain Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326485236 | Seattle Pain Center Medical Corporation | Pain Medicine | 801 Sw 16th St., Ste. 121, Renton, WA 98057-2628 | 2013-05-31 |
| 1376980284 | Seattle Pain Center Medical Corporation | Pain Medicine | 1414 N Vercler Rd, Building 5, Spokane Valley, WA 99216-1092 | 2013-05-31 |
| 1730526641 | Seattle Pain Center Medical Corporation | Pain Medicine | 1628 S Mildred St, Suite 105, Tacoma, WA 98465-1627 | 2013-05-31 |
| 1740627652 | Seattle Pain Center Medical Corporation | Pain Medicine | 2950 Limited Ln Nw, Olympia, WA 98502-4577 | 2013-05-31 |
| 1396182200 | Seattle Pain Center Medical Corporation | Pain Medicine | 1001 N Broadway, Ste A3, Everett, WA 98201-1586 | 2013-05-31 |
| 1972777951 | Seattle Pain Center Medical Corporation | Pain Medicine | 1536 N 115th St, #310, Seattle, WA 98133-8400 | 2008-04-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | SEATTLE PAIN CENTER MEDICAL CORPORATION | 300 Lilly Rd Ne Ste A, Olympia, WA 98506 |
| Street Address |
20696 BOND RD NE BLDG C-205 |
| City | POULSBO |
| State | WA |
| Zip Code | 98370-9025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922030444 | Heritage Health Center Inc | General Practice | 20696 Bond Rd Ne, Suite 110, Poulsbo, WA 98370 | 2006-07-07 |
| 1447611157 | Holly Campbell | Midwife | 20696 Bond Rd Ne, Bldg C, Ste 110, Poulsbo, WA 98370-9015 | 2016-03-09 |
| 1508232844 | Salmonberry Community Birth Center LLC | Clinic/Center | 20696 Bond Rd Ne, Bldg C, Suite 110, Poulsbo, WA 98370-9015 | 2015-08-20 |
| 1306250535 | Gumnut Blossom Midwifery LLC | Midwife | 20696 Bond Rd Ne, Bldg C, Suite 110, Poulsbo, WA 98370-9015 | 2014-06-16 |
| 1962843193 | Nancy Ann Lorber | Nurse Practitioner | 20696 Bond Rd Ne, Suite 110, Poulsbo, WA 98370 | 2013-07-16 |
| 1033468327 | Melanie Anne Lyon Brindle | Midwife | 20696 Bond Rd Ne, Poulsbo, WA 98370-9015 | 2012-09-03 |
| 1750675898 | Stepfamily Solutions LLC | Counselor | 20696 Bond Rd Ne, Bldg C Suite 210, Poulsbo, WA 98370-9015 | 2011-06-07 |
| 1902114267 | Gabriela Helena Skistimas | Nurse Practitioner | 20696 Bond Rd Ne, Suite 110, Poulsbo, WA 98370-9015 | 2010-09-21 |
| 1831100692 | Betty A Bennett | Nurse Practitioner | 20696 Bond Rd Ne, Ste 110, Poulsbo, WA 98370 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790324010 | Francie Corinn Edens | Massage Therapist | 225 Nw Lindvig Way Suite# 6, Poulsbo, WA 98370 | 2020-01-03 |
| 1972155679 | Marcela Serocki | Massage Therapist | 18657 Wa-305, Suite 4, Poulsbo, WA 98370 | 2019-07-12 |
| 1508425943 | Ryan Brinton | Physical Therapist | Kitsap Physical Therapy and Sports Clinics, 19319 7th Ave Ne Ste 108, Poulsbo, WA 98370 | 2019-06-10 |
| 1598220816 | Naomi Whitney Orong | Massage Therapist | 19068 Nw Jenson Way, Suite 4b, Poulsbo, WA 98370 | 2019-02-01 |
| 1043774953 | Maryanne Phillips Bellman | Physical Therapist | 442 Viewmont Ave, Poulsbo, WA 98370 | 2019-01-24 |
| 1285102293 | Andrea Sander | Registered Nurse | 19883 12th Ave Ne, Poulsbo, WA 98370 | 2018-11-07 |
| 1376038281 | Sharon Renay Christor | Nurse Practitioner | 19160 Front St. Ne, Poulsbo, WA 98370 | 2018-06-25 |
| 1700304334 | Samantha Przybylek Gavinski | Nurse Practitioner | 19500 10th Ave Ne Suite 100, Poulsbo, WA 98370 | 2017-09-04 |
| 1285164327 | Johanna Taylor | Behavior Technician | 21786 Windmill Loop Nw, Poulsbo, WA 98370 | 2017-06-12 |
| 1568990554 | Eva Geurtsen | Physical Therapy Assistant | 19160 Front St, Poulsbo, WA 98370 | 2017-06-02 |
| Find all providers in zip 98370 | ||||
| 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 |
| 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.