Mt Baker Pain Clinic, P.S.

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

602939596 Issued in WA

Legal business name

MT BAKER PAIN CLINIC, P.S.

Practice address

4029 Northwest Ave Ste 301
Bellingham, WA 98226-9077

Phone

(360) 752-0518

Fax

(360) 676-2896

NPI assigned

Nov 4, 2009

Last updated

Nov 4, 2009By 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

Jennifer Cerar, RN, CRRN, CASC

Title

Clinical Manager

Phone

(360) 752-0518

Specialties & licenses 1

Addresses

Tax ID family

North Cascade Pain Management PS3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Mt Baker Pain Clinic, P.S.

  • Ambulatory Surgical Clinic/Center
  • Bellingham, WA
  • NPI 1013243393
  NPD tax ID
• North Cascade Pain Management PS

  • Pain Medicine (Anesthesiology) Physician
  • Burlington, WA
  • NPI 1629332895
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Mt Baker Pain Clinic, P.S.

  • Ambulatory Surgical Clinic/Center
  • Bellingham, WA
  • NPI 1013243393
  NPPES parent name

Practitioners 1

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.

• Brent A Richardson, MD

  • Pain Medicine (Anesthesiology) Physician
  • Bellingham, WA
  • NPI 1689780751
  NPD (past)

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257292800000",
    "number": "1851628333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4029 NORTHWEST AVE STE 301",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982269077",
            "telephone_number": "360-752-0518",
            "fax_number": "360-676-2896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4029 NORTHWEST AVE STE 301",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982269077",
            "telephone_number": "360-752-0518",
            "fax_number": "360-676-2896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT BAKER PAIN CLINIC, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-04",
        "last_updated": "2009-11-04",
        "status": "A",
        "authorized_official_last_name": "CERAR",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CLINICAL MANAGER",
        "authorized_official_telephone_number": "360-752-0518",
        "authorized_official_credential": "RN, CRRN, CASC"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "WA",
            "license": "602939596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Mrdjan
• Ms Erlich MD, LLC
• Phumeza Msikinya, MD
• Mstreet Services PLLC
• Mt Baker Pain Clinic, P.S.
• Mt Baker Surgery Center, LLC
• Mt. Baker Imaging LLC
• Mt. Baker Nephrology Associates Inc PS
• Mt. Baker Vision Clinc
• Patrick Muchmore

• Pain Clinic/Center in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Pain Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; 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.