PACIFIC PAIN SPECIALISTS
NPI 1205163771
Anesthesiology - Pain Medicine in Issaquan, WA
NPI Status: Active since November 04, 2009
Contact Information
22510 SE 64TH PLACE
SUITE 120
ISSAQUAN, WA
ZIP 98027
Phone: (425) 391-2722
Fax: (425) 391-2922
- Organization
- Anesthesiology
- Pain Medicine
- Accepts Insurance
- CLIA Number: 50D2008665
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-04-2028
About PACIFIC PAIN SPECIALISTS
This page provides the complete NPI Profile along with additional information for Pacific Pain Specialists, a provider established in Issaquan, Washington operating as a Anesthesiology, focusing in pain medicine . The healthcare provider is registered in the NPI registry with number 1205163771 assigned on November 2009. The practitioner's primary taxonomy code is 207LP2900X with license number MD 00047320 (WA). The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Jason Kim Md (Owner/manager)
- NPI
- 1205163771
- Provider Name
- PACIFIC PAIN SPECIALISTS
- Entity Type
- Organization
- Location Address
- 22510 SE 64TH PLACE SUITE 120 ISSAQUAN, WA 98027
- Location Phone
- (425) 391-2722
- Location Fax
- (425) 391-2922
- Mailing Address
- 22510 SE 64TH PLACE SUITE 120 ISSAQUAN, WA 98027
- Mailing Phone
- (425) 391-2722
- Mailing Fax
- (425) 391-2922
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-04-2009
- Last Update Date
- 09-21-2010
- 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
Anesthesiology Pain Medicine
- Taxonomy Code
- 207LP2900X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD 00047320
- License State
- WA
- Taxonomy Description
- An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
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
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 50D2008665
- Facility Type
- Physician Office
- Certificate Effective Date
- June 15, 2010
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- JASON KIM
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Pacific Pain Specialists to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for PACIFIC PAIN SPECIALISTS
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 0 | 5 | 1 | 6 | 3 | 7 | 7 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 0 | 5 | 2 | 6 | 6 | 7 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 0 + 5 + 2 + 6 + 6 + 7 + 1 + 4 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1205163771 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205163771, enumerated as an "organization" on November 04, 2009.
The provider is located at 22510 SE 64TH PLACE SUITE 120 ISSAQUAN, WA 98027 and the phone number is (425) 391-2722.
Anesthesiology with taxonomy code 207LP2900X and a focus in Pain Medicine.
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.
