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ADVANCED PAIN MEDICINE PHYSICIANS PLLC NPI 1255302881


NPI Information

NPI: 1255302881
Provider Name: ADVANCED PAIN MEDICINE PHYSICIANS, PLLC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1628 S MILDRED ST
SUITE 105
TACOMA, WA
ZIP 98465
Phone: (253) 564-2009
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ADVANCED PAIN MEDICINE PHYSICIANS, PLLC is a specialist in Tacoma, WA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ADVANCED PAIN MEDICINE PHYSICIANS, PLLC NPI is 1255302881. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1628 S MILDRED ST
SUITE 105
TACOMA, WA
ZIP 98465-627
Phone: (253) 564-2009

The provider's authorized official is Joseph F. Jasper .
The authorized official title is Managing Member and has the following contact phone number (253) 564-2009.

The enumeration date for this NPI number is 1/31/2006 and was last updated on 3/6/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistWASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18328593MEDICAIDWASHINGTON
2GAB18030MEDICARE PINWASHINGTON
3GAB18030MEDICARE ID-TYPE UNSPECIFIEDWASHINGTON
47115207MEDICAIDWASHINGTON
5GGAB18030MEDICARE PINWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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