Twin Cities Pain Management PC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

TWIN CITIES PAIN MANAGEMENT PC

Practice address

1221 Highland Ave
Clarkston, WA 99403-2829

Phone

(509) 758-6132

Fax

(509) 751-9726

NPI assigned

Aug 25, 2010

Last updated

Dec 16, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John W MannschreckNPI 1942251376

Title

Owner

Phone

(509) 758-6132

Specialties & licenses 1

Addresses

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.

• John W Mannschreck, M.D.

  • Diagnostic Radiology Physician
  • Clarkston, WA
  • NPI 1942251376
  Authorized official Same address or phone

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

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292457600000",
    "number": "1598071771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 CLAY ST APT 522",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981214120",
            "telephone_number": "509-758-6132",
            "fax_number": "509-751-9726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 HIGHLAND AVE",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994032829",
            "telephone_number": "509-758-6132",
            "fax_number": "509-751-9726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN CITIES PAIN MANAGEMENT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-25",
        "last_updated": "2010-12-16",
        "status": "A",
        "authorized_official_last_name": "MANNSCHRECK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-758-6132",
        "authorized_official_name_prefix": "Dr."
    },
    "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": []
}

• Tri-State Memorial Hospital
• Tri-State Memorial Hospital
• Tri-State Memorial Hospital
• Tri-State Memorial Hospital (Tri State Medical Clinics)
• Tri-State S.P.O.R.T. Physical Therapy Clinic
• Twin Cities Radiology, Inc
• Twin River Vision, Inc.
• Twin Rivers Physical Therapy, LLC
• Georgia Valdon
• Valley Physical Therapy PS

• Interventional Pain Medicine Physician in Clarkston, WA
• Providers in Clarkston, 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 Dec 16, 2010; 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.