Advanced Pain Management Clinic LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

MD00042920 Issued in WA

Legal business name

ADVANCED PAIN MANAGEMENT CLINIC LLC

Practice address

121 N Division St
Suite 340
Auburn, WA 98001-4931

Phone

(253) 333-1637

Fax

(253) 351-8509

NPI assigned

Dec 9, 2010

Organization subpart

No

Name

Mindaugas Vielavicius, MD

Title

Owner

Phone

(253) 333-1637

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 9, 2010.

{
    "created_epoch": "1291852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291852800000",
    "number": "1982907119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13684",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981981010",
            "telephone_number": "206-592-5000",
            "fax_number": "206-824-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 N DIVISION ST",
            "address_2": "SUITE 340",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980014931",
            "telephone_number": "253-333-1637",
            "fax_number": "253-351-8509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PAIN MANAGEMENT CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-09",
        "last_updated": "2010-12-09",
        "status": "A",
        "authorized_official_last_name": "VIELAVICIUS",
        "authorized_official_first_name": "MINDAUGAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-333-1637",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "WA",
            "license": "MD00042920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla C Aczon, ARNP
• Jessica Adair
• Devin W Adams, SUDPT
• Rebecca Michelle Adams, LMP
• Daniel Oluwatoyin Adelowo, RN
• Kaylynn Rose Afanasiev
• Bruce Afton, PA-C
• April Jenne Cagdan Agaloos
• Agape Experience Care
• Agape Healthcare Services LLC

• All providers in Auburn, WA
• Pain Medicine (Anesthesiology) Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; 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.