Washington Center for Pain Management LLC
NPI 1194381905ActiveOrganization· Clinic/Center· Puyallup, WA
Clinic/Center in Puyallup, Washington, registered in NPPES in May 2019, part of Washington Center for Pain Management PLLC. The authorized official on file is Jacky Hong, Office Manager. Enrolled in Medicare as dme supplier - physician - interventional pain management and part b supplier - clinic/group practice.
Overview
| NPI | 1194381905 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Washington Center for Pain Management PLLC |
| NPI issued | May 16, 2019 |
| Last updated in NPPES | Dec 3, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Interventional Pain Management (WA); Part B Supplier - Clinic/Group Practice (WA) |
|---|
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