PAIN CARE PHYSICIANS PLLC (NPI# 1356960769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356960769 |
| Entity Type | Organization |
| Organization Name | PAIN CARE PHYSICIANS PLLC |
| Practice Address |
155 Lilly Rd Ne Ste A Olympia WA 98506-5028 |
| Mailing Address |
801 Sw 16th St Ste 121 Renton WA 98057-2628 |
| Practice Telephone | 2065386300 |
| Practice Fax Number | 2065386301 |
| Mailing Telephone | 2065386300 |
| Mailing Fax Number | 2065386301 |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2020-04-15 |
| Authorized Official Name | SANDY CLEMENS (CONTRACT MGR) |
| Authorized Official Telephone | 2065386300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780135368 | Pain Care Physicians Pllc | Clinical Medical Laboratory | 11611 Airport Rd Ste 102, Everett, WA 98204-3782 | 2016-10-19 |
| 1477116697 | Pain Care Physicians Pllc | Pain Medicine | 3305 Nassau St, Everett, WA 98201-4140 | 2019-04-15 |
| 1619530839 | Pain Care Physicians Pllc | Pain Medicine | 155 Lilly Rd Ne, Olympia, WA 98506-5028 | 2019-04-15 |
| 1558892828 | Pain Care Physicians Pllc | Pain Medicine | 2950 Limited Ln Nw, Olympia, WA 98502-4577 | 2017-03-27 |
| 1548710585 | Pain Care Physicians Pllc | Pain Medicine | 1414 N Vercler Rd, Spokane Valley, WA 99216-1092 | 2016-10-13 |
| 1144779232 | Pain Care Physicians Pllc | Pain Medicine | 801 Sw 16th St, Suite 121, Renton, WA 98057 | 2016-09-29 |
| 1588113062 | Pain Care Physicians Pllc | Pain Medicine | 1628 S Mildred St, Ste. 105, Tacoma, WA 98465-1627 | 2016-09-26 |
| Street Address |
155 LILLY RD NE STE A |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98506-5028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154433597 | Boney K. Mcgone | Nurse Practitioner | 155 Lilly Rd Ne Ste A, Olympia, WA 98506-5028 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477185460 | Chloe Harper | Technician, Other | 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 | 2020-02-07 |
| 1912543539 | Jessica Marie Radakovich | Licensed Practical Nurse | 3426 Mary Elder Rd, Olympia, WA 98506 | 2019-11-19 |
| 1669014973 | Arlene Josephine Adams | Registered Nurse | 413 Lily Rd Ne, Olympia, WA 98506 | 2019-10-09 |
| 1861999120 | Debra Delores Barker | Licensed Practical Nurse | 3710 South Bay Rd Ne, Olympia, WA 98506 | 2018-04-12 |
| 1801304431 | Michelle Warner | Nurse Practitioner | 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 | 2018-01-17 |
| 1396258364 | Institute for Family Development | Community/Behavioral Health | 204 Quince St. Ne, Suite 200, Olympia, WA 98506 | 2017-11-13 |
| 1083137715 | Cameron Kunkel | Specialist/Technologist | 2512 20th Ave Ne, Olympia, WA 98506 | 2017-07-25 |
| 1184144768 | Trevor Shane Kwan | Family Medicine | 525 Lilly Road Ne, Olympia, WA 98506 | 2017-06-23 |
| 1073043212 | Michael H Harburg | Behavior Technician | 3857 Martin Way Ne, Olympia, WA 98506 | 2017-06-19 |
| 1780114371 | Priscilla Kangyang Jadu | Counselor | 3857 Martin Way E., Olympia, WA 98506 | 2017-06-15 |
| Find all providers in zip 98506 | ||||
| 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 |
|---|---|---|---|---|
| 1558892828 | Pain Care Physicians Pllc | Pain Medicine | 2950 Limited Ln Nw, Olympia, WA 98502-4577 | 2017-03-27 |
| 1528404001 | Washington Center for Pain Management, LLC | Pain Medicine | 155 Lilly Rd Ne, Olympia, WA 98506-5028 | 2013-05-10 |
| 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 |
| 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.