Pacific Coast Medical Group

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PACIFIC COAST MEDICAL GROUP

Doing business as

Bellevue Pain Institute

Practice address

12360 NE 8TH St
Suite 200
Bellevue, WA 98005-4801

Phone

(425) 999-9633

Fax

(888) 899-4360

NPI assigned

Nov 28, 2012

Last updated

Oct 16, 2015By 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

Kevin PolzinNPI 1750376984

Title

President

Phone

(865) 590-0376

Specialties & licenses 1

Addresses

Other names 1

• BELLEVUE PAIN INSTITUTE Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 5

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.

• Kevin L Polzin, DC

  • Chiropractor
  • Bellevue, WA
  • NPI 1750376984
  Medicare reassignment NPD Authorized official
• Kaitlyn Lyell Burnette, DC

  • Chiropractor
  • Seattle, WA
  • NPI 1154805745
  NPD (past)
• Annamaria Elizabeth Hamill, LMP

  • Massage Therapist
  • Bellevue, WA
  • NPI 1548583073
  NPD (past)
• Jane Young Huh, D.C.

  • Chiropractor
  • Bellevue, WA
  • NPI 1134495740
  NPD (past)
• Michelle Rene Roberts, LMP

  • Massage Therapist
  • Bellevue, WA
  • NPI 1164733077
  NPD (past)

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

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444953600000",
    "number": "1841535069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12360 NE 8TH ST",
            "address_2": "SUITE 200",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980054801",
            "telephone_number": "425-999-9633",
            "fax_number": "888-899-4360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12360 NE 8TH ST",
            "address_2": "SUITE 200",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980054801",
            "telephone_number": "425-999-9633",
            "fax_number": "888-899-4360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC COAST MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-28",
        "last_updated": "2015-10-16",
        "status": "A",
        "authorized_official_last_name": "POLZIN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-590-0376"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BELLEVUE PAIN INSTITUTE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pacific Behavioral Healthcare
• Pacific Cataract and Laser Institute Inc PC
• Pacific Clinic PLLC (Pacific Clinic)
• Pacific Coast Health Care, PLLC
• Pacific Coast Integrated Medical Group PLLC (Bellevue Pain Institute)
• Pacific Enterprises, Inc. (Allcare, LegSmart)
• Pacific Handworks Inc., P.S.
• Pacific Handworks Inc., P.S.
• Pacific Handworks Inc., P.S.
• Pacific Handworks Inc., P.S.

• Chiropractor in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; 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.