Puget Sound Pain Clinic PS

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

PUGET SOUND PAIN CLINIC PS

Practice address

7200 S 180TH St
Suite 102
Tukwila, WA 98188-5548

Phone

(425) 774-1538

Fax

(425) 774-5171

NPI assigned

Jan 4, 2013

Last updated

Jan 4, 2013By 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

Dr. Kyong Ho Kim, D.O.NPI 1124009303

Title

Owner

Phone

(253) 983-9390

Specialties & licenses 1

Addresses

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.

• Sound Pain Alliance

  dba Puget Sound Pain Clinic

  • Ambulatory Surgical Clinic/Center
  • Tukwila, WA
  • NPI 1518354752
  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.

• Kyong Ho Kim, DO

  • Interventional Pain Medicine Physician
  • Lakewood, WA
  • NPI 1124009303
  Authorized official Same address or phone

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

{
    "created_epoch": "1357257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357257600000",
    "number": "1861739294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 827",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980090827",
            "telephone_number": "425-774-1538",
            "fax_number": "425-774-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 S 180TH ST",
            "address_2": "SUITE 102",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981885548",
            "telephone_number": "425-774-1538",
            "fax_number": "425-774-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUGET SOUND PAIN CLINIC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-04",
        "last_updated": "2013-01-04",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "KYONG",
        "authorized_official_middle_name": "HO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-983-9390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Providence Health & Services - Washington (Providence Infusion and Pharmacy Services)
• Providence Health & Services - Washington (Providence Hospice of Seattle)
• Providence Health & Services Washington (Providence Home Services)
• Providence Health & Services Washington (Providence Infusion and Pharmacy Services)
• Peyton Pruett
• Michaella Pulido
• Alexandria Puopolo
• Sophia Quimio, OD
• Quinault Ave LLC
• Christian Isaac Quintanar

• Interventional Pain Medicine Physician in Tukwila, WA
• Providers in Tukwila, 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 Jan 4, 2013; 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.