SEATTLE PAIN CENTER MEDICAL CORPORATION (NPI# 1396182200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396182200 |
| Entity Type | Organization |
| Organization Name | SEATTLE PAIN CENTER MEDICAL CORPORATION |
| Other Organization Name | SEATTLE PAIN CENTER |
| Practice Address |
1001 N Broadway Ste A3 Everett WA 98201-1586 |
| Mailing Address |
801 Sw 16th St. Ste 121 Renton WA 98057-2628 |
| Practice Telephone | 4252505551 |
| Practice Fax Number | 4252505552 |
| Mailing Telephone | 2068058885 |
| Mailing Fax Number | 2068058886 |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2016-05-26 |
| Authorized Official Name | DR. 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 |
| 1346657293 | Seattle Pain Center Medical Corporation | Pain Medicine | 20696 Bond Rd Ne, Bldg C-205, Poulsbo, WA 98370-9025 | 2014-07-11 |
| 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 |
| 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 |
1001 N BROADWAY STE A3 |
| City | EVERETT |
| State | WA |
| Zip Code | 98201-1586 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003870023 | Timothy Edward Mcnamara | Internal Medicine | 1001 N Broadway, Suite A3, Everett, WA 98201-1586 | 2006-04-14 |
| 1588966725 | Heather L Morris | Registered Nurse | 1001 N Broadway, Everett, WA 98201-1586 | 2010-11-19 |
| 1811223894 | Heike Ingrid Nuhsbaum | Registered Nurse | 1001 N Broadway, Suite A-3, Everett, WA 98201-1585 | 2009-10-26 |
| 1871744268 | Providence Health & Services-wa | Counselor | 1001 N Broadway, Suite A-3, Everett, WA 98201-1586 | 2008-10-04 |
| 1265604169 | Cheryl Crance | Dietary Manager | 1001 N Broadway, Suite A-3, Everett, WA 98201-1586 | 2008-03-31 |
| 1487825782 | Matthew J Beecroft | Emergency Medicine | 1001 N Broadway, Ste A11, Everett, WA 98201-1586 | 2008-03-14 |
| 1548457039 | Susan J Jones | Nurse Practitioner | 1001 N Broadway, Suite A3, Everett, WA 98201-1586 | 2007-09-27 |
| 1528269495 | Pablo Mejia | Psychologist | 1001 N Broadway, Suite A3, Everett, WA 98201-1586 | 2007-05-30 |
| 1922136308 | Patricia A Brandt | Counselor | 1001 N Broadway, 3, Everett, WA 98201-1586 | 2007-02-28 |
| 1992871735 | Providence Everett Medical Center | Clinic/Center | 1001 N Broadway, Suite A-3, Everett, WA 98201-1586 | 2006-11-24 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 98201 | ||||
| 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 |
|---|---|---|---|---|
| 1538667795 | Center for Wellness and Pain Care of Washington | Anesthesiology | 3426 Broadway Ste 101, Everett, WA 98201-5098 | 2018-01-23 |
| 1215350814 | Washington Center for Pain Management LLC | Anesthesiology | 3305 Nassau St, Everett, WA 98201-4140 | 2014-02-03 |
| 1871836510 | Kriti Srivastava | Anesthesiology | 4027 Hoyt Ave, Everett, WA 98201 | 2013-04-01 |
| 1225378912 | David Shin Chang | Anesthesiology | 4027 Hoyt Ave, Everett, WA 98201 | 2013-02-18 |
| 1902184724 | Washington Center for Pain Management LLC | Anesthesiology | 3305 Nassau St, Everett, WA 98201-4140 | 2011-07-27 |
| 1598734873 | Lawrence J Fowler | Anesthesiology | 1100 Pacific Ave, Suite 300, Everett, WA 98201-4261 | 2006-03-17 |
| 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 |
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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.