Bellingham Spine Pain Specialists, P.S.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

BELLINGHAM SPINE PAIN SPECIALISTS, P.S.

Practice address

2075 Barkley Blvd
Suite 110
Bellingham, WA 98226-6614

Phone

(360) 527-8111

Fax

(360) 527-8115

NPI assigned

Sep 14, 2006

Last updated

Dec 4, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Thomas Richard Flory

Title

Executive Director

Phone

(360) 527-8111

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Interventional Medical Associates of Bellingham, PC Former legal business name

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cary S Kaufman, MD

  • Surgical Oncology Physician
  • Bellingham, WA
  • NPI 1841290947
  NPD
• David Neil Calkins, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Albuquerque, NM
  • NPI 1407966369
  NPD (past)
• Matthew T Kline, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Bryn Mawr, PA
  • NPI 1790749646
  NPD (past)
• Miguel A Pupiales, MD

  • Pain Medicine (Anesthesiology) Physician
  • Albuquerque, NM
  • NPI 1306876966
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228348800000",
    "number": "1104921824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 BARKLEY BLVD",
            "address_2": "SUITE 110",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982266614",
            "telephone_number": "360-527-8111",
            "fax_number": "360-527-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 BARKLEY BLVD",
            "address_2": "SUITE 110",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982266614",
            "telephone_number": "360-527-8111",
            "fax_number": "360-527-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLINGHAM SPINE PAIN SPECIALISTS, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2008-12-04",
        "status": "A",
        "authorized_official_last_name": "FLORY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "360-527-8111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7101959",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interventional Medical Associates of Bellingham, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Bellingham Physical Therapy, PLLC
• Bellingham Radiation Oncology PLLC
• Bellingham Retina Specialists, PLLC
• Bellingham School District
• Bellingham South of Cascadia, LLC
• Bellingham Sports and Spine Physical Therapy
• Bellingham Technical College
• Bellingham Technical College
• Bellingham Urology Group PLLC
• Bellingham Urology Group, PLLC

• Interventional Pain Medicine Physician in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Interventional Pain Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.