NPIMap

Organization Active NPI

Seattle Pain Center Medical Corporation

  • Pain Medicine (Anesthesiology) Physician
  • Poulsbo, WA
National Provider Identifier
1346657293
Registry record updated May 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
SEATTLE PAIN CENTER MEDICAL CORPORATION
Practice address
20696 Bond Rd NE
BLDG C-205
Poulsbo, WA 98370-9025
Phone
(360) 930-3100
Fax
(360) 633-3137
NPI assigned
Jul 11, 2014
Organization subpart
Yes
Parent organization
SEATTLE PAIN CENTER MEDICAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 19, 2016

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

Authorized official

Name
Frank Li, MD
Title
Ceo/Owner
Phone
(206) 805-8885

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X Primary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X

Addresses

Primary practice location

20696 Bond Rd NE
BLDG C-205
Poulsbo, WA 98370-9025

Mailing address

801 SW 16TH St.
Ste. 121
Renton, WA 98057-2628
Phone (206) 805-8885

Other names 1

  • Seattle Pain Center Doing business as

National Provider Directory

National Provider Directory
Part of
Seatle Pain Center

Locations

3624 Colby Ave
Ste B
Everett, WA 98201
Phone (425) 250-5551

20696 Bond Rd NE
Bldg C205
Poulsbo, WA 98370
Phone (360) 930-3100

1107 SW Grady Way
Ste 100
Renton, WA 98057
Phone (206) 805-8885

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1405036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463616000000",
    "number": "1346657293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 SW 16TH ST.",
            "address_2": "STE. 121",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572628",
            "telephone_number": "206-805-8885",
            "fax_number": "206-805-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20696 BOND RD NE",
            "address_2": "BLDG C-205",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983709025",
            "telephone_number": "360-930-3100",
            "fax_number": "360-633-3137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEATTLE PAIN CENTER MEDICAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SEATTLE PAIN CENTER MEDICAL CORPORATION",
        "enumeration_date": "2014-07-11",
        "last_updated": "2016-05-19",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "206-805-8885",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seattle Pain Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Poulsbo, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; 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.