Washington Center for Pain Management LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

WASHINGTON CENTER FOR PAIN MANAGEMENT LLC

Practice address

3202 Colby Ave Ste B
Everett, WA 98201-4324

Phone

(425) 774-1538

Fax

(888) 718-9625

NPI assigned

Mar 2, 2021

Organization subpart

No

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

Authorized official

Name

Jacky Hong

Title

Manager

Phone

(425) 774-1538

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Sports and Spine

  • Clinic/Center
  • Bellevue, WA
  • NPI 1598255903

  O20070615000367

  Same enrollment
• Washington Center for Pain Management

  • Interventional Pain Medicine Physician
  • Bellevue, WA
  • NPI 1295320927

  O20070615000367

  Same enrollment
• Washington Center for Pain Management LLC

  • Interventional Pain Medicine Physician
  • Everett, WA
  • NPI 1114528056

  O20070615000367

  Same enrollment
• Washington Center for Pain Management LLC

  • Clinic/Center
  • Puyallup, WA
  • NPI 1194381905

  O20070615000367

  Same enrollment
• Washington Center for Pain Management LLC

  • Pain Medicine Physician
  • Bellevue, WA
  • NPI 1265763999

  O20070615000367

  Same enrollment
• Washington Center for Pain Management LLC

  • Interventional Pain Medicine Physician
  • Bellevue, WA
  • NPI 1508473281

  O20070615000367

  Same enrollment
• Washington Center for Pain Management LLC

  • Interventional Pain Medicine Physician
  • Renton, WA
  • NPI 1730398520

  O20070615000367

  Same enrollment
• Washington Center for Pain Management PLLC

  • Clinic/Center
  • Lacey, WA
  • NPI 1801450952

  O20070615000367

  Same enrollment
• Washington Center for Pain Management PLLC

  • Interventional Pain Medicine Physician
  • Everett, WA
  • NPI 1992335541

  O20070615000367

  Same enrollment
• Washington Center for Pain Management, LLC

  • Interventional Pain Medicine Physician
  • Olympia, WA
  • NPI 1871260760

  O20070615000367

  Same enrollment

Practitioners 1

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

• XI Bei Tian, MD

  • Anesthesiology Physician
  • Seattle, WA
  • NPI 1316238090
  NPD

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614643200000",
    "number": "1497340418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 827",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980090827",
            "telephone_number": "425-774-1538",
            "fax_number": "888-718-9625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 COLBY AVE STE B",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014324",
            "telephone_number": "425-774-1538",
            "fax_number": "888-718-9625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON CENTER FOR PAIN MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A",
        "authorized_official_last_name": "HONG",
        "authorized_official_first_name": "JACKY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "425-774-1538"
    },
    "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": []
}

• Warrior Massage PLLC
• Kimberly Jean Fusaro Warth, PA-C
• Washington Advanced Pain Associates, PLLC
• Washington Center for Pain Management LLC
• Washington Center for Pain Management LLC
• Washington Center for Pain Management LLC
• Washington Center for Pain Management PLLC
• Washington CVS Pharmacy LLC
• Washington CVS Pharmacy LLC
• Washington CVS Pharmacy LLC

• Interventional Pain Medicine Physician in Everett, WA
• Providers in Everett, 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 Mar 2, 2021; 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.