Northwest Comprehensive Pain Consultants Inc P S

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

MD00035789 Issued in WA

Legal business name

NORTHWEST COMPREHENSIVE PAIN CONSULTANTS INC P S

Practice address

125 N 18TH St
Ste # B
Mount Vernon, WA 98273-3902

Phone

(360) 336-0123

Fax

(360) 336-0126

NPI assigned

Jul 10, 2007

Last updated

Apr 13, 2011By 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

Marian Elaine Johnston, MDNPI 1437107059

Title

President

Phone

(360) 336-0123

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Marian Elaine Johnston, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Mount Vernon, WA
  • NPI 1437107059
  NPD Authorized official

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1215135272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N 18TH ST",
            "address_2": "STE # B",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982733902",
            "telephone_number": "360-336-0123",
            "fax_number": "360-336-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N 18TH ST",
            "address_2": "STE # B",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982733902",
            "telephone_number": "360-336-0123",
            "fax_number": "360-336-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST COMPREHENSIVE PAIN CONSULTANTS INC P S",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-336-0123",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "WA",
            "license": "MD00035789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1117589",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Star Medical Imaging PLLC
• Deborah A. North, MD
• Northwest Asthma & Allergy Center
• Northwest Center for Sports Medicine & Physical Therapy Inc
• Northwest Chiropractic Clinic PS
• Northwest Dental Sleep & Wellness Center
• Northwest Orthopaedic Surgeons, P.S.
• Northwest Pathology PLLC (Avero Diagnostics)
• Northwest Physical Therapy Sports Rehabilitation Center, Inc., P.S.
• Northwest Return to Work Mt Vernon (Valley Rehab PT AND RTW CENTER)

• Pain Medicine (Anesthesiology) Physician in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Pain Medicine (Anesthesiology) Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.