VIRGINIA MASON MEDICAL CENTER (NPI# 1568679074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568679074 |
| Entity Type | Organization |
| Organization Name | VIRGINIA MASON MEDICAL CENTER |
| Other Organization Name | VM PAIN CLINIC-REGENCE |
| Practice Address |
1100 9th Ave Seattle WA 98101-2756 |
| Mailing Address |
1100 9th Ave # M4-pa Seattle WA 98101-2756 |
| Practice Telephone | 2063411770 |
| Mailing Telephone | 2065836025 |
| Mailing Fax Number | 2065155886 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | STEVEN M SCHAEFER (VICE PRESIDENT OF FINANCE) |
| Authorized Official Telephone | 2065155953 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
H-010 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | BLUE SHIELD # | MA6994 | 01 |
| Other Name | Type Code |
|---|---|
| VM PAIN CLINIC-REGENCE | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689130528 | Virginia Mason Medical Center | Clinic/Center | 909 University St Fl 2, Seattle, WA 98101-2772 | 2019-02-15 |
| 1306365184 | Virginia Mason Medical Center | Pharmacy | 5959 Corson Ave S Ste C-1, Seattle, WA 98108-2605 | 2017-09-13 |
| 1972884732 | Virginia Mason Medical Center | Clinic/Center | 1201 Terry Ave., Virginia Mason Medical Center X2-sm, Seattle, WA 98101 | 2011-09-07 |
| 1720073604 | Virginia Mason Medical Center | Skilled Nursing Facility | 2720 E Madison St, Seattle, WA 98112-4739 | 2005-09-15 |
| 1700880291 | Virginia Mason Medical Center | Pharmacy | 1201 Terry Ave, Seattle, WA 98101-2735 | 2005-06-13 |
| 1174527683 | Virginia Mason Medical Center | Pharmacy | 1100 Ninth Ave Ms: C1-po, Seattle, WA 98101 | 2005-06-13 |
| 1043214596 | Virginia Mason Medical Center | Pharmacy | 100 Ne Gilman Blvd, Issaquah, WA 98027-2925 | 2005-06-10 |
| 1174164297 | Virginia Mason Medical Center | Clinic/Center | 925 Seneca St, Ms: H4-carrb, Seattle, WA 98101-2756 | 2019-09-30 |
| 1134511686 | Virginia Mason Medical Center | Durable Medical Equipment & Medical Supplies | 1100 9th Ave, Ms-h10slp, Seattle, WA 98101-2756 | 2015-02-20 |
| 1578902094 | Virginia Mason Medical Center | Durable Medical Equipment & Medical Supplies | 2671 Ne 46th St, Seattle, WA 98105 | 2013-06-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | VIRGINIA MASON MEDICAL CENTER | 1100 9th Ave, C/O Lynne Chafetz Ms Gb-Adm, Seattle, WA 98101-2756 |
| System for Award Management (SAM) Entities | VIRGINIA MASON MEDICAL CENTER | 1100 9th Ave, Seattle, WA 98101-2756 |
| Street Address |
1100 9TH AVE |
| City | SEATTLE |
| State | WA |
| Zip Code | 98101-2756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770585002 | Carolyn A Searles | Nurse Practitioner | 1100 9th Ave, C6-gs, Seattle, WA 98101-2756 | 2005-05-31 |
| 1134728967 | Xiaodi Feng | Physician Assistant | 1100 9th Ave, Seattle, WA 98101-2756 | 2020-10-22 |
| 1841898574 | Allison Elizabeth Wong | Genetic Counselor, MS | 1100 9th Ave, Seattle, WA 98101-2756 | 2020-10-14 |
| 1558978346 | Amy Frick | Dietitian, Registered | 1100 9th Ave, Seattle, WA 98101-2756 | 2020-09-25 |
| 1942814736 | Chelsea Jackson | Registered Nurse | 1100 9th Ave, Seattle, WA 98101-2756 | 2020-08-31 |
| 1033737317 | Rachel Kathleen Gibbons | Pharmacist | 1100 9th Ave, Seattle, WA 98101-2756 | 2020-07-13 |
| 1649896275 | Christian James West | Nurse Practitioner | 1100 9th Ave, Seattle, WA 98101-2756 | 2020-06-19 |
| 1124643341 | Carter Gisriel | Nurse Anesthetist, Certified Registered | 1100 9th Ave, Seattle, WA 98101-2756 | 2020-06-12 |
| 1578186680 | Lisa Anne Leitzelar | Social Worker | 1100 9th Ave, Seattle, WA 98101-2756 | 2020-05-22 |
| 1922628809 | Yekaterina Shchapina | Registered Nurse | 1100 9th Ave, Seattle, WA 98101-2756 | 2020-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987485 | David James Sanders | Internal Medicine | 1100 Ninth Avenue: Attention David Sanders, G2-pmr, Seattle, WA 98101 | 2020-09-17 |
| 1295356483 | Yvette Marie Sampson | Peer Specialist | Josephinum C/o Crew, 1902 2nd Ave., Seattle, WA 98101 | 2020-04-29 |
| 1699313353 | Eunyoung Kim | Pharmacist | 925 Seneca Street, H3-pi, Seattle, WA 98101 | 2019-12-12 |
| 1407405657 | Maryanne Wambui Mirie | Registered Nurse | Josephinum 1902 2 Nd Ave, C/o Crew ., Seattle, WA 98101 | 2019-09-10 |
| 1437714854 | Bossakara Sokhom | Student in an Organized Health Care Education/Training Program | 925 Seneca St. Mailstop H8-gme, Seattle, WA 98101 | 2019-05-01 |
| 1841752516 | Hai Quan Ngoc Truong | Student in an Organized Health Care Education/Training Program | 925 Seneca St, H8-gme, Seattle, WA 98101 | 2019-04-02 |
| 1134689318 | Kaitlin Alyse Geck | Student in an Organized Health Care Education/Training Program | 928 Seneca St, Mail Sop: H8-gme, Seattle, WA 98101 | 2019-03-22 |
| 1659860088 | Jaime Mauricio Jimenez | Student in an Organized Health Care Education/Training Program | Virginia Mason 925 Seneca St, Mail Sop: H8-gme, Seattle, WA 98101 | 2018-05-01 |
| 1184156861 | Benjamin Perin | Student in an Organized Health Care Education/Training Program | 925 Seneca Street, H8-gme, Virginia Mason, Seattle, WA 98101 | 2017-03-31 |
| 1316478258 | John Robert Coleman | Anesthesiology | 1100 9th Ave Ms: M4-pfs, Seattle, WA 98101 | 2017-03-22 |
| Find all providers in zip 98101 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336511989 | Pain & Wellness Institute, Pllc | Physical Medicine & Rehabilitation | 819 Virginia Street, Unit 1805, Seattle, WA 98101 | 2015-10-22 |
| 1477907822 | Melissa Osborn | Physical Medicine & Rehabilitation | 4225 Roosevelt Way Ne Fl 4, Seattle, WA 98105-6099 | 2016-04-21 |
| 1477920973 | Institute of Pain, Rehabilitation and Wellness, Pllc | Physical Medicine & Rehabilitation | 1334 Terry Ave, Seattle, WA 98101-2747 | 2015-09-01 |
| 1740583566 | Maysoft, LLC | Physical Medicine & Rehabilitation | 155 Ne 100th St, Ste 402, Seattle, WA 98125-8012 | 2010-12-16 |
| 1255520102 | David Cassius, Md Ps | Physical Medicine & Rehabilitation | 600 Broadway, Suite 270, Seattle, WA 98122-5395 | 2007-10-17 |
| 1023173846 | Xiangping Ren | Physical Medicine & Rehabilitation | 904 7th Ave, Seattle, WA 98104-1132 | 2006-12-22 |
| 1194884940 | David Cassius | Physical Medicine & Rehabilitation | 600 Broadway, Suite 270, Seattle, WA 98122-5395 | 2006-12-07 |
| 1215007091 | Joel C Konikow | Physical Medicine & Rehabilitation | 600 Broadway, Suite 530, Seattle, WA 98122-5229 | 2006-11-08 |
| 1679667331 | Antoine Dante Jones | Physical Medicine & Rehabilitation | 1100 9th Ave, Seattle, WA 98101-2756 | 2006-10-03 |
| 1629187687 | Mark Andrew Tomski | Physical Medicine & Rehabilitation | 1101 Madison Street, Suite 200 Spd Pain Management, Seattle, WA 98104-1306 | 2006-08-30 |
| Find all providers in SEATTLE | ||||
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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.