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

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 Mannschreck

Title

Owner

Phone

(509) 758-6132

Specialties & licenses 1

Addresses

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 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

• All providers in Clarkston, WA
• 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.