Peninsula Pain Clinic, PLLC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

PENINSULA PAIN CLINIC, PLLC

Practice address

2601 Cherry Ave Ste 200
Bremerton, WA 98310-4208

Phone

(360) 415-9110

Fax

(360) 479-0265

NPI assigned

Sep 18, 2015

Last updated

Jul 22, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

PENINSULA PAIN CLINIC, PLLCAs reported in NPPES

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

Authorized official

Name

Terry Pexton, DONPI 1447417324

Title

Medical Director

Phone

(360) 415-9110

Specialties & licenses 3

Addresses

Part of

Peninsula Pain Clinic P

Practitioners 2

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.

• Terry Pexton, DO

  • Pain Medicine (Anesthesiology) Physician
  • Bremerton, WA
  • NPI 1447417324
  Authorized official Same address or phone
• Jon F Hillyer, MD

  • Pain Medicine (Anesthesiology) Physician
  • Silverdale, WA
  • NPI 1255398178
  NPD

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563753600000",
    "number": "1912376005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR STE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771728",
            "telephone_number": "310-943-4180",
            "fax_number": "888-431-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 CHERRY AVE STE 200",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983104208",
            "telephone_number": "360-415-9110",
            "fax_number": "360-479-0265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA PAIN CLINIC, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PENINSULA PAIN CLINIC, PLLC",
        "enumeration_date": "2015-09-18",
        "last_updated": "2019-07-22",
        "status": "A",
        "authorized_official_last_name": "PEXTON",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "360-415-9110",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "WA",
            "license": "OP60339103",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peninsula Community Health Services
• Peninsula Community Health Services
• Peninsula Community Health Services
• Peninsula Community Health Servicess
• Peninsula Optical Lab, Inc.
• Peninsula Pain Relief Center
• Peninsula Spine Institute, PS
• Angela Natalie Perez
• Manya Beth Perkins, LMHCA
• Desiree Pernell

• Pain Clinic/Center in Bremerton, WA
• Providers in Bremerton, 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 Jul 22, 2019; 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.