Cascade Interventional Pain Center PLLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

MD00036006 Issued in WA

Legal business name

CASCADE INTERVENTIONAL PAIN CENTER PLLC

Practice address

1818 S Union
Suite 1 a
Tacoma, WA 98405

Phone

(253) 627-2666

Fax

(253) 627-8661

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Jaisimha K Iyengar, MDNPI 1194770164

Title

Doctor

Phone

(253) 627-2666

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Tax ID family

Cascade Interventional Pain Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Cascade Interventional Pain Center

  • Pain Management Registered Nurse
  • Tacoma, WA
  • NPI 1568645547
  NPD tax ID

Locations

Practitioners 2

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

• Jaisimha K Iyengar, MD

  • Interventional Pain Medicine Physician
  • Tacoma, WA
  • NPI 1194770164
  Medicare reassignment NPD Authorized official
• Rajiv Jaisimha Iyengar, MD

  • Plastic and Reconstructive Surgery Physician
  • Puyallup, WA
  • NPI 1386171361
  NPD

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437696000000",
    "number": "1558376335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 731689",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "98373",
            "telephone_number": "253-627-2666",
            "fax_number": "253-627-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 S UNION",
            "address_2": "SUITE 1 A",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98405",
            "telephone_number": "253-627-2666",
            "fax_number": "253-627-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE INTERVENTIONAL PAIN CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2015-07-24",
        "status": "A",
        "authorized_official_last_name": "IYENGAR",
        "authorized_official_first_name": "JAISIMHA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "253-627-2666",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "WA",
            "license": "MD00036006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Casassa, LABA
• Rafaela Sofia Domingo Casayuran
• Cascade Chiropractic and Massage Inc
• Cascade Internal Medicine PS
• Cascade Interventional Pain Center
• Cascade Mental Health PS (Cascade Mental Health)
• Cascade Nurse Practitioners
• Cascade Pacific Eyecare
• Cascade Trauma and Acute Care Surgery PLLC
• Cascade Vascular Associates PS

• Interventional Pain Medicine Physician in Tacoma, WA
• Providers in Tacoma, 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 Jul 24, 2015; 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.