Seattle Pain Center – Pain Medicine (Anesthesiology) Physician, NPI 1972777951
Excluded from federal healthcare programs (Medicare/Medicaid)
This provider is listed on the OIG List of Excluded Individuals/Entities (LEIE). Exclusion effective: 2016-12-20. Reason: Entity controlled by a sanctioned individual.
Pain Medicine (Anesthesiology) Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Seattle Pain Center
Walmart Corp., 801, Southwest 16th Street, Renton, King County, Washington, 98057, United States
STE 121
RENTON, WA 980572628
Phone: (206) 805-8885
Fax: (206) 805-8886
Type: Mailing
Northwest Prescriptions, 1536, North 115th Street, Haller Lake, Seattle, King County, Washington, 98133, United States
#310
SEATTLE, WA 981338400
Phone: (206) 805-8885
Fax: (206) 522-5151
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98057)
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