NPIMap

Organization Active NPI

Sound Pain Alliance

Doing business as Mt Baker Pain Clinic

  • Pain Clinic/Center
  • Burlington, WA
National Provider Identifier
1538405709
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
SOUND PAIN ALLIANCE
Doing business as
Mt Baker Pain Clinic
Practice address
340 E George Hopper Road
Suite #1
Burlington, WA 98233-3154
Phone
(360) 752-0518
Fax
(360) 676-2896
NPI assigned
Dec 17, 2012
Last updated
Jul 22, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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

Authorized official

Name
Erika Stuit
Title
Administrator
Phone
(360) 752-0518

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Ambulatory Surgical Clinic/Center 261QA1903X MD00045352 WA
Pain Clinic/Center 261QP3300X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

340 E George Hopper Road
Suite #1
Burlington, WA 98233-3154

Mailing address

4029 Northwest Ave Ste 301
Bellingham, WA 98226-9077
Phone (360) 752-0518

Other identifiers 1

IdentifierTypeStateIssuer
EINOtherWACOMMERCIAL

Other names 1

  • Mt Baker Pain Clinic Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120725000934 WA Part B Supplier - Clinic/Group Practice 9133385917 Receives reassigned benefits from 4 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bellingham, WA; Burlington, WA; Arlington, WA
O20191031002119 WA DME Supplier - Multi-Specialty - Physician 0941565162 Practice locations: Burlington, WA

Other NPIs with the same Medicare PAC ID 13

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 13

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory
Tax ID family
Sound Pain Alliance26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

Locations

1849 NW Kearney St
Ste 201
Portland, OR 97209
Phone (503) 274-0045

21509 State Route 410 E
Ste 1A
Bonney Lake, WA 98391
Phone (253) 891-2160

340 E George Hopper Rd
Burlington, WA 98233
Phone (360) 707-7260

120 14th Ave SE
Puyallup, WA 98372
Phone (425) 744-1527

7200 S 180th St
Ste 103
Tukwila, WA 98188
Phone (425) 251-1660

Practitioners & affiliated clinicians

Practitioners 35

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.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1355702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563753600000",
    "number": "1538405709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4029 NORTHWEST AVE STE 301",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982269077",
            "telephone_number": "360-752-0518",
            "fax_number": "360-676-2896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 E GEORGE HOPPER ROAD",
            "address_2": "SUITE #1",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982333154",
            "telephone_number": "360-752-0518",
            "fax_number": "360-676-2896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUND PAIN ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-17",
        "last_updated": "2019-07-22",
        "status": "A",
        "authorized_official_last_name": "STUIT",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "360-752-0518"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WA",
            "license": "MD00045352",
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "EIN",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mt Baker Pain Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mt Baker Pain Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burlington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; 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.