SEATTLE PAIN CENTER MEDICAL CORPORATION (NPI# 1376980284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376980284 |
| Entity Type | Organization |
| Organization Name | SEATTLE PAIN CENTER MEDICAL CORPORATION |
| Other Organization Name | SPOKANE PAIN CENTER |
| Practice Address |
1414 N Vercler Rd Building 5 Spokane Valley WA 99216-1092 |
| Mailing Address |
801 Sw 16th St. Ste. 121 Renton WA 98057-2628 |
| Practice Telephone | 5093850302 |
| Practice Fax Number | 4257935256 |
| Mailing Telephone | 2068058885 |
| Mailing Fax Number | 2068058886 |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2016-05-19 |
| Authorized Official Name | DR. FRANK DANGER 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 |
|---|---|
| Spokane 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 |
| 1346657293 | Seattle Pain Center Medical Corporation | Pain Medicine | 20696 Bond Rd Ne, Bldg C-205, Poulsbo, WA 98370-9025 | 2014-07-11 |
| 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 |
1414 N VERCLER RD BUILDING 5 |
| City | SPOKANE VALLEY |
| State | WA |
| Zip Code | 99216-1092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427040203 | Mary K. Wagner | Pediatrics | 1414 N Vercler Rd, Building 1, Spokane Valley, WA 99216-1092 | 2005-08-18 |
| 1548710585 | Pain Care Physicians Pllc | Pain Medicine | 1414 N Vercler Rd, Spokane Valley, WA 99216-1092 | 2016-10-13 |
| 1578996740 | Reva Gay Reese | Nurse Practitioner | 1414 N Vercler Rd, Bldg 5, Spokane Valley, WA 99216-1092 | 2013-08-12 |
| 1912245333 | Kalista H Dubiel | Nurse Practitioner | 1414 N Vercler Rd, Bldg 5, Spokane Valley, WA 99216-1092 | 2013-01-18 |
| 1235427154 | Ryan D Burklund | Anesthesiology | 1414 N Vercler Rd, Bld 5, Spokane Valley, WA 99216-1092 | 2011-07-12 |
| 1659582872 | Charlotte Esther Weeda | Pediatrics | 1414 N Vercler Rd, Bldg 1, Spokane Valley, WA 99216-1092 | 2007-05-28 |
| 1447461611 | Merle Janes | Physical Medicine & Rehabilitation | 1414 N Vercler Rd, Suite #3, Spokane Valley, WA 99216-1092 | 2007-05-26 |
| 1912029836 | Lisa K Kisenwether | Nurse Practitioner | 1414 N Vercler Rd, Suite B, Spokane Valley, WA 99216-1092 | 2007-04-03 |
| 1427196880 | Valley Young Peoples Clinic Ps | Pediatrics | 1414 N Vercler Rd, Bldg I, Spokane Valley, WA 99216-1092 | 2007-02-01 |
| 1871639054 | William L Gray Md Ps | Family Medicine | 1414 N Vercler Rd, Bldg 5, Spokane Valley, WA 99216-1092 | 2007-01-29 |
| Find all providers in the same location | ||||
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|---|---|---|---|---|
| 1053920124 | Aark Laboratory | Clinical Medical Laboratory | 12709 E Mirabeau Pkwy Bldg A Ste 500, Spokane, WA 99216 | 2020-07-24 |
| 1922622158 | Vera Whole Health Wa, PC | Clinic/Center | 16009 E Indiana Ave, Spokane Valley, WA 99216 | 2020-06-03 |
| 1023654001 | Rebecca Elizabeth Ryan | Massage Therapist | 12505 E 23rd Ave, Spokane Valley, WA 99216 | 2019-11-25 |
| 1356992903 | Creative Communication LLC | Speech-Language Pathologist | 13607 E. Sprague Ave, Spokane Valley, WA 99216 | 2019-09-25 |
| 1972096584 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 15319 E Indiana Ave Ste 2, Spokane Valley, WA 99216 | 2018-06-08 |
| 1356845655 | Rp Operations, LLC | Assisted Living Facility | 13013 E Mission Ave, Spokane Valley, WA 99216 | 2018-03-21 |
| 1174036305 | Talk, Learn and Communicate | Speech-Language Pathologist | 13607 East Spraque Avenue, Spokane Valley, WA 99216 | 2017-11-09 |
| 1134638281 | Vtc Vitality Healthcare | Pain Medicine | 12409 E Mission Ave Ste 102, Spokane Valley, WA 99216 | 2017-09-20 |
| 1285150086 | Robert C Tsay Jr. | Pharmacist | 12415 E 12th Ave, Apt 110, Spokane Valley, WA 99216 | 2017-08-15 |
| 1629505607 | Spokane Valley Medical, Inc | Durable Medical Equipment & Medical Supplies | 12509 E. Mission Ave, Suite #103, Spokane, WA 99216 | 2017-05-22 |
| Find all providers in zip 99216 | ||||
| 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 |
|---|---|---|---|---|
| 1508936212 | Timothy Daniel Dibble | Anesthesiology | 1117 N Evergreen Rd Ste 2, Spokane Valley, WA 99216-1138 | 2006-11-09 |
| 1437425535 | Derek Cord Mitchell | Anesthesiology | 1123 N Evergreen Rd, Spokane Valley, WA 99216-1138 | 2012-03-22 |
| 1235427154 | Ryan D Burklund | Anesthesiology | 1414 N Vercler Rd, Bld 5, Spokane Valley, WA 99216-1092 | 2011-07-12 |
| 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 |
| 1053499608 | Kathy I-wen Wang | Anesthesiology | 1519 3rd St Se Ste 101, Puyallup, WA 98372-3742 | 2006-11-01 |
| 1114017068 | Brendan Rhodes O'donnell | Anesthesiology | 21616 76th W Ave, Suite 209, Edmonds, WA 98026-7512 | 2006-10-13 |
| Find all providers with the same taxonomy | ||||
| City | SPOKANE VALLEY |
| Zip Code | 99216 |
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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.