Interventional Pain Group of Bellevue PLLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

INTERVENTIONAL PAIN GROUP OF BELLEVUE PLLC

Practice address

1220 116TH Ave NE
Suite 102
Bellevue, WA 98004

Phone

(206) 409-7100

NPI assigned

Feb 19, 2020

Organization subpart

Yes

Parent organization

INTERVENTIONAL PAIN GROUP OF BELLEVUE PLLCAs reported in NPPES

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

Authorized official

Name

Larry Miggins, DC

Title

Member

Phone

(206) 409-7100

Specialties & licenses 1

Addresses

Part of

Interventional Pain Group of Bellevue PLLC

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582070400000",
    "number": "1386277267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 S WATER ST",
            "address_2": "SUITE 103",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "98926",
            "telephone_number": "206-409-7100",
            "fax_number": "425-984-1531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 116TH AVE NE",
            "address_2": "SUITE 102",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98004",
            "telephone_number": "206-409-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL PAIN GROUP OF BELLEVUE PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTERVENTIONAL PAIN GROUP OF BELLEVUE PLLC",
        "enumeration_date": "2020-02-19",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A",
        "authorized_official_last_name": "MIGGINS",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "206-409-7100",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Interventional Pain Medicine Physician in Bellevue, WA
• Providers in Bellevue, 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 Feb 19, 2020; 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.