Organization Active NPI

Cure Pain Management, PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Vancouver, WA
National Provider Identifier
1366964959
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
MD60544409 Issued in WA
Legal business name
CURE PAIN MANAGEMENT, PLLC
Practice address
222 NE Park Plaza Dr Ste 110
Vancouver, WA 98684-5896
Phone
(360) 314-2548
NPI assigned
Jul 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Authorized official

Name
Dr. Jordan Graybill, MDNPI 1053585802
Title
Physician
Phone
(360) 314-2548

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X MD60544409 WA Primary

Addresses

Primary practice location

222 NE Park Plaza Dr Ste 110
Vancouver, WA 98684-5896

Mailing address

222 NE Park Plaza Dr Ste 110
Vancouver, WA 98684-5896
Phone (360) 314-2548

Other names 1

  • Cure Spine & Sports Medicine, PLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20171018000440 WA Part B Supplier - Clinic/Group Practice 7719253855 Receives reassigned benefits from 1 practitioner
Practice locations: Vancouver, WA
O20190319002140 WA DME Supplier - Physician - Anesthesiology 7719253855 Practice locations: Vancouver, WA

National Provider Directory

National Provider Directory

Locations

19215 SE 34th St
Ste 106415
Camas, WA 98607

222 NE Park Plaza Dr
Ste 110
Vancouver, WA 98684
Phone (360) 314-2548

920 NE 112th Ave
Ste 104
Vancouver, WA 98684
Phone (360) 314-2548

Practitioners & affiliated clinicians

Practitioners 1

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": "1499990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1366964959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 NE PARK PLAZA DR STE 110",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986845896",
            "telephone_number": "360-314-2548",
            "fax_number": "360-799-4634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 NE PARK PLAZA DR STE 110",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986845896",
            "telephone_number": "360-314-2548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CURE PAIN MANAGEMENT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-14",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "GRAYBILL",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "360-314-2548",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "WA",
            "license": "MD60544409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cure Spine & Sports Medicine, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.