Organization Active NPI

Ipp, PC

Doing business as Washington Spine Diagnostic and Treatment Center

  • Ambulatory Surgical Clinic/Center
  • Bothell, WA
National Provider Identifier
1558435040
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
IPP, PC
Doing business as
Washington Spine Diagnostic and Treatment Center
Practice address
1629 220TH St SE
Suite 204
Bothell, WA 98021-8466
Phone
(425) 939-5157
Fax
(425) 939-5202
NPI assigned
Nov 17, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Solomon Kamson, M.D.
Title
President
Phone
(425) 486-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X WA Primary

Addresses

Primary practice location

1629 220TH St SE
Suite 204
Bothell, WA 98021-8466

Mailing address

PO Box 490
Bothell, WA 98041-0490
Phone (425) 939-5157

Other identifiers 2

IdentifierTypeStateIssuer
8410INOtherWAREGENCE
0156259OtherWALABOR & INDUSTRIES

Other names 1

  • Washington Spine Diagnostic and Treatment Center Doing business as

National Provider Directory

National Provider Directory

Locations

1629 220th St SE
#201
Bothell, WA 98021
Phone (425) 486-1000

1629 220th St SE
Ste 204
Bothell, WA 98021
Phone (425) 486-1000

1111 W Spruce St
Ste 26A
Yakima, WA 98902
Phone (425) 486-1000

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558435040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980410490",
            "telephone_number": "425-939-5157",
            "fax_number": "425-939-5202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 220TH ST SE",
            "address_2": "SUITE 204",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980218466",
            "telephone_number": "425-939-5157",
            "fax_number": "425-939-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IPP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAMSON",
        "authorized_official_first_name": "SOLOMON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-486-1000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "8410IN",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0156259",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington Spine Diagnostic and Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bothell, WA

Sources for this page

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