PUGET SOUND PAIN CLINIC
NPI 1053431684
Clinic/Center - Pain in Lakewood, WA
NPI Status: Active since March 29, 2007
Contact Information
11306 BRIDGEPORT WAY SW
#D
LAKEWOOD, WA
ZIP 98499
Phone: (253) 983-9390
Fax: (253) 983-0066
- Organization
- Clinic/Center
- Pain
- Accepts Insurance
- CLIA Number: 50D2151236
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-04-2028
About PUGET SOUND PAIN CLINIC
This page provides the complete NPI Profile along with additional information for Puget Sound Pain Clinic, a provider established in Lakewood, Washington operating as a Clinic/center, focusing in pain . The healthcare provider is registered in the NPI registry with number 1053431684 assigned on March 2007. The practitioner's primary taxonomy code is 261QP3300X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Puget Sound Pain Clinic. The authorized official of this NPI record is Erika Stuit (Administrator)
- NPI
- 1053431684
- Provider Legal Name
- SOUND PAIN ALLIANCE
- Other Organization Name
- PUGET SOUND PAIN CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 11306 BRIDGEPORT WAY SW #D LAKEWOOD, WA 98499
- Location Phone
- (253) 983-9390
- Location Fax
- (253) 983-0066
- Mailing Address
- PO BOX 39324 LAKEWOOD, WA 98496
- Mailing Phone
- (253) 983-9390
- Mailing Fax
- (253) 983-0066
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 03-29-2007
- Last Update Date
- 07-22-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Pain
- Taxonomy Code
- 261QP3300X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208VP0014X | Allopathic & Osteopathic Physicians | Pain Medicine | OP00001595 (WA) |
| 2 | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center | |
| 3 | 261QP3300X | Ambulatory Health Care Facilities | Clinic/Center | OP00001595 (WA) |
| 4 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
- Premera Blue Cross Family Dental - PPO
- Premera Blue Cross Pediatric Dental - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7121882 | MEDICAID (05) | WA |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 50D2151236
- Facility Type
- Physician Office
- Certificate Effective Date
- July 16, 2018
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- JING CAO
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Puget Sound Pain Clinic on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1053431684, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
LAKEWOOD, WA 98499
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053431684, enumerated as an "organization" on March 29, 2007.
The provider is located at 11306 BRIDGEPORT WAY SW #D LAKEWOOD, WA 98499 and the phone number is (253) 983-9390.
Clinic/Center with taxonomy code 261QP3300X and a focus in Pain.
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska, Medicare. Please consult your insurance carrier or call the provider to verify.
