Interventional Pain Management Associates, Inc

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

MD00042973 Issued in WA

Legal business name

INTERVENTIONAL PAIN MANAGEMENT ASSOCIATES, INC

Practice address

1498 SE Tech Center PL
Suite 340
Vancouver, WA 98683-9591

Phone

(360) 260-0235

NPI assigned

May 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael Willilam Gilliland, M.D.NPI 1063426005

Title

President

Phone

(360) 260-0235

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Michael William Gilliland, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Puyallup, WA
  • NPI 1063426005
  NPD (past) Authorized official

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649488057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1498 SE TECH CENTER PL",
            "address_2": "SUITE 340",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986839591",
            "telephone_number": "360-260-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1498 SE TECH CENTER PL",
            "address_2": "SUITE 340",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986839591",
            "telephone_number": "360-260-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL PAIN MANAGEMENT ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GILLILAND",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WILLILAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-260-0235",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "WA",
            "license": "MD00042973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inspirational Legacies Wellness & Media LLC
• Integrated Pain Solutions, LLC (Integrated Health Solutions)
• Integrative Body, Inc. (Integrative Body Strategies)
• Integrity Counseling
• International Rehabilitative Sciences Inc. (RS Medical)
• Invision Eye Care PLLC
• Iredale Professional Services
• Trudy A Iredale, PH.D.
• Amee Ireland, STUDENT
• Valerie Ann Irvin Phelps, LMT

• Interventional Pain Medicine Physician in Vancouver, WA
• Providers in Vancouver, 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 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.