MID ATLANTIC PAIN MANAGEMENT, LLC (NPI# 1003283938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003283938 |
Entity Type | Organization |
Organization Name | MID ATLANTIC PAIN MANAGEMENT, LLC |
Practice Address |
3930 Pender Dr Suite 120 Fairfax VA 22030-0985 |
Mailing Address |
1302 Rising Ridge Rd Suite 1 Mount Airy MD 21771-5790 |
Practice Telephone | 3018297693 |
Practice Fax Number | 3018297694 |
Mailing Telephone | 3018297683 |
Mailing Fax Number | 3018297694 |
Enumeration Date | 2015-08-26 |
Last Update Date | 2015-08-26 |
Authorized Official Name | LEWIE G ANDERSON (COO) |
Authorized Official Telephone | 3018297683 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
USDOL OWCP | 618183700 | 01 | |
AETNA NON-HMO | 5395974 | 01 | |
AETNA HMO | 0352193 | 01 | |
CAREFIRST BCBS | BE66 | 01 | |
RAILROAD MEDICARE | DV0457 | 01 | |
VA | 1861818270 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477949568 | Mid Atlantic Pain Management, LLC | Anesthesiology | 6355 Walker Ln, Suite 510, Alexandria, VA 22310-3245 | 2015-04-15 |
1861818270 | Mid Atlantic Pain Management, LLC | Anesthesiology | 6355 Walker Ln, Suite 200, Alexandria, VA 22310-3245 | 2014-03-10 |
Street Address |
3930 PENDER DR SUITE 120 |
City | FAIRFAX |
State | VA |
Zip Code | 22030-0985 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720088941 | Aram Orthopaedics, P.C. | Orthopaedic Surgery | 3930 Pender Dr, Suite 210, Fairfax, VA 22030-0985 | 2005-07-29 |
1205212933 | Dermatology of Virginia | Dermatology | 3930 Pender Dr, Suite 210, Fairfax, VA 22030-0985 | 2015-08-04 |
1265829253 | Anna Rich | Hearing Instrument Specialist | 3930 Pender Dr, Ste 140, Fairfax, VA 22030-0985 | 2015-04-17 |
1710381660 | Kenneth J Kim, M.d., P.C. | Clinic/Center | 3930 Pender Dr, Suite 330, Fairfax, VA 22030-0985 | 2014-10-21 |
1144631276 | Obgyn of Virginia, LLC | Obstetrics & Gynecology | 3930 Pender Dr, Suite 60, Fairfax, VA 22030-0985 | 2014-05-12 |
1154769040 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 3930 Pender Dr, Suite 210, Fairfax, VA 22030 | 2013-06-12 |
1144569732 | Lyle Joseph Ritch | Physician Assistant | 3930 Pender Dr, Suite 210, Fairfax, VA 22030-0985 | 2013-02-03 |
1922356054 | Fairfax Loudoun Obgyn, Inc | Obstetrics & Gynecology | 3930 Pender Dr, Suite 210, Fairfax, VA 22030-0985 | 2012-08-21 |
1073887741 | Saman Madani Dmd & Shadi Shareghi Dds PC | Dentist | 3930 Pender Dr, Suite #250, Fairfax, VA 22030-0985 | 2012-02-28 |
1598085722 | Applied Neuropsychological Services PC | Clinical Neuropsychologist | 3930 Pender Dr, Suite 320, Fairfax, VA 22030-0985 | 2010-06-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
Find all providers in zip 22030 |
Taxonomy Code | 207LP2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Anesthesiology |
Specialization | Pain Medicine |
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. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093236226 | Physical Medicine Associates Ltd | Anesthesiology | 3620 Joseph Siewick Dr Ste 101, Fairfax, VA 22033-1757 | 2017-06-28 |
1356734412 | Northern Virginia Surgery Center Anesthesia | Anesthesiology | 3620 Joseph Siewick Dr, Suite 202, Fairfax, VA 22033-1756 | 2015-03-13 |
1669649729 | Prashanth A Mally | Anesthesiology | 12255 Fair Lakes Pkwy, Fairfax, VA 22033-3952 | 2008-05-08 |
1447384011 | Amgad W Abdou | Anesthesiology | 3031 Javier Rd., Ste. 100, Fairfax, VA 22031 | 2007-03-15 |
1972694891 | Laura C Filipescu-turner | Anesthesiology | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2006-09-27 |
1518058569 | Lavanya Kodali | Anesthesiology | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2006-09-27 |
1649371014 | Mi Hwa Kang | Anesthesiology | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2006-09-26 |
1952401440 | Julieta O Virtudes | Anesthesiology | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2006-09-24 |
1770681660 | Kamla K Prasad | Anesthesiology | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2006-09-21 |
1164529962 | Zamira Orahovac | Anesthesiology | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2006-09-20 |
Find all providers in FAIRFAX |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.