Pain Care Physicians PLLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PAIN CARE PHYSICIANS PLLC

Practice address

1415 N Houk Rd Ste B
Spokane Valley, WA 99216-1043

Phone

(206) 538-6300

Fax

(206) 538-6301

NPI assigned

Jun 10, 2024

Organization subpart

No

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

Authorized official

Name

Kevin Moon, MD

Title

Director of Revenue and Finance

Phone

(206) 538-6300

Specialties & licenses 3

Addresses

Other identifiers 2

Tax ID family

Pain Care Physicians PLLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

• Pain Care Physicians PLLC

  • Interventional Pain Medicine Physician
  • Olympia, WA
  • NPI 1356960769
  NPD tax ID
• Pain Care Physicians PLLC

  • Interventional Pain Medicine Physician
  • Spokane Valley, WA
  • NPI 1548710585
  NPD tax ID
• Pain Care Physicians PLLC

  • Interventional Pain Medicine Physician
  • Tacoma, WA
  • NPI 1588113062
  NPD tax ID
• Pain Care Physicians PLLC

  • Ambulatory Surgical Clinic/Center
  • Olympia, WA
  • NPI 1619530839
  NPD tax ID
• Pain Care Physicians PLLC

  • Interventional Pain Medicine Physician
  • Bellevue, WA
  • NPI 1871373894
  NPD tax ID

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753056000000",
    "number": "1669214714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 SW 16TH ST STE 121",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572628",
            "telephone_number": "206-538-6300",
            "fax_number": "206-538-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 N HOUK RD STE B",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161043",
            "telephone_number": "206-538-6300",
            "fax_number": "206-538-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN CARE PHYSICIANS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-10",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A",
        "authorized_official_last_name": "MOON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE AND FINANCE",
        "authorized_official_telephone_number": "206-538-6300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER (NON-MEDICARE)",
            "identifier": "1144779232",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE CERTIFICATION NUMBER",
            "identifier": "50C0001354",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kori Page
• Tyffani Page
• William T Page, MD
• Mark E.a. Paget, PTA,ATC,CSCS
• Pain Care Physicians PLLC
• Ponrat Pakpreo, MD
• Ladeane Marie Palmar, LMP
• Allison W Palmer
• Chris Palmer, PA-C
• Telicia L Palmer

• Ambulatory Surgical Clinic/Center in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Ambulatory Surgical Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.