MID ATLANTIC PAIN MANAGEMENT, LLC


Address: 3930 Pender Dr, Suite 120, Fairfax, VA 22030-0985
Phone: 3018297693

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

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

Other Provider IDs and Locations

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

Office Location

Street Address 3930 PENDER DR
SUITE 120
City FAIRFAX
State VA
Zip Code 22030-0985

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207LP2900X
Grouping Allopathic & Osteopathic Physicians
Classification Anesthesiology
Specialization Pain Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City FAIRFAX
Zip Code 22030

Improve Information

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Dataset Information

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.

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