NPIMap

Organization Active NPI

Seattle Pain Relief PLLC

  • Family Medicine Physician
  • Federal Way, WA
National Provider Identifier
1710240841
Registry record updated Oct 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00016124 Issued in WA
Legal business name
SEATTLE PAIN RELIEF PLLC
Practice address
35002 Pacific Hwy S
Ste A105
Federal Way, WA 98003-8365
Phone
(425) 354-8311
NPI assigned
Jun 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2012

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

Authorized official

Name
David BirdsallNPI 1851563217
Title
President
Phone
(425) 354-8311

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X WA
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X MD00016124 WA Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X OA60245584 WA

Addresses

Primary practice location

35002 Pacific Hwy S
Ste A105
Federal Way, WA 98003-8365

Mailing address

35002 Pacific Hwy S
Ste A105
Federal Way, WA 98003-8365
Phone (425) 354-8311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121008000438 WA Part B Supplier - Clinic/Group Practice 9032368220 Receives reassigned benefits from 20 practitioners
Practice locations: Federal Way, WA

National Provider Directory

National Provider Directory

Locations

10151 SE Sunnyside Rd
Ste 315
Clackamas, OR 97015
Phone (503) 305-5027

35002 Pacific Hwy S
Federal Way, WA 98003

35002 Pacific Hwy S
Ste 105
Federal Way, WA 98003
Phone (253) 944-1289

35000 Pacific Hwy S
Federal Way, WA 98003

35002 Pacific Hwy S
Ste A106
Federal Way, WA 98003

35002 Pacific Hwy S
Ste A105
Federal Way, WA 98003
Phone (253) 209-7800

18415 33rd Ave W
Ste Q
Lynnwood, WA 98037
Phone (425) 775-3202

10564 5th Ave NE
Ste 101
Seattle, WA 98125
Phone (425) 610-9426

Practitioners & affiliated clinicians

Practitioners 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351123200000",
    "number": "1710240841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35002 PACIFIC HWY S",
            "address_2": "STE A105",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038365",
            "telephone_number": "425-354-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35002 PACIFIC HWY S",
            "address_2": "STE A105",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038365",
            "telephone_number": "425-354-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEATTLE PAIN RELIEF PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-22",
        "last_updated": "2012-10-25",
        "status": "A",
        "authorized_official_last_name": "BIRDSALL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-354-8311"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00016124",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "OA60245584",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.