MRUTHYUNJAYA GONCHIGAR (NPI# 1043275449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043275449 |
Entity Type | Individual |
Full Name | MRUTHYUNJAYA GONCHIGAR |
Credential | M.D. |
Practice Address |
196 Thomas Johnson Dr Suite 215 Frederick MD 21702-4397 |
Practice Telephone | 3016689988 |
Practice Fax Number | 3016689977 |
Mailing Telephone | 3016689988 |
Mailing Fax Number | 3016689977 |
Enumeration Date | 2006-04-19 |
Last Update Date | 2012-04-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207L00000X | Anesthesiology | D0050726 | MD | Allopathic & Osteopathic Physicians |
Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
D0050726 | MD | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | MEDICARE RAILROAD | P00875961 | 01 |
MD | PAIN MANAGEMENT | 697L395D | 01 |
Street Address |
196 THOMAS JOHNSON DR SUITE 215 |
City | FREDERICK |
State | MD |
Zip Code | 21702-4397 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841283579 | Sallyann Mccarthy | Registered Nurse | 196 Thomas Johnson Dr, Suite 120-b, Frederick, MD 21702-4397 | 2005-08-29 |
1962036624 | Cleopatra Kulasi | Family Medicine | 196 Thomas Johnson Dr, Frederick, MD 21702-4397 | 2020-03-02 |
1922510056 | Paola Haros | Physician Assistant | 196 Thomas Johnson Dr, Frederick, MD 21702-4397 | 2017-10-30 |
1912441890 | Heather Wilber | Physician Assistant | 196 Thomas Johnson Dr, Suite 135, Frederick, MD 21702-4397 | 2016-12-12 |
1952858771 | Tania Thornton | Nurse Practitioner | 196 Thomas Johnson Dr, Suite 215, Frederick, MD 21702-4397 | 2016-09-09 |
1891150744 | Dental Associates of Frederick, LLC | Dentist | 196 Thomas Johnson Dr, Suite 235, Frederick, MD 21702-4397 | 2015-12-18 |
1194119818 | Corey Amber Ward | Nurse Practitioner | 196 Thomas Johnson Dr, Suite 120, Frederick, MD 21702-4397 | 2015-03-19 |
1841698925 | Alexander King | Acupuncturist | 196 Thomas Johnson Dr, 125, Frederick, MD 21702-4397 | 2014-12-05 |
1104237858 | Dr. E.j. Stringer, D.m.d., P.a. | Dentist | 196 Thomas Johnson Dr, Suite 200, Frederick, MD 21702-4397 | 2014-05-15 |
1720326002 | Dr. Eunjoo Song Stringer Dmd | Dentist | 196 Thomas Johnson Dr, Suite 200, Frederick, MD 21702-4397 | 2013-01-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073129714 | Rita Akowuah | Nurse Practitioner | 1302 Baker Place East Apt 14, Frederick, MD 21702 | 2020-09-18 |
1912416272 | Morgan Nicely | Behavior Technician | 65 Thomas Johnson Drive Suite A, Frederick, MD 21702 | 2017-09-29 |
1154840494 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 184 Thomas Johnson Dr Ste 104, Frederick, MD 21702 | 2017-09-19 |
1831617471 | Hazel Elizabeth Gill | Physical Therapy Assistant | 2007 Butterfield Overlook, Frederick, MD 21702 | 2017-09-05 |
1831610161 | William Haynes | Nurse Practitioner | 103 Water Land Ct., Frederick, MD 21702 | 2017-06-27 |
1497299333 | Timothy Stimach | Pharmacist | 1430b W Patrick St, Frederick, MD 21702 | 2016-12-12 |
1184167405 | Maryland Nutrition and Diet Services, L.L.C. | Dietitian, Registered | 1301 W. 7th Street, No. 1607, Frederick, MD 21702 | 2016-11-18 |
1649649468 | Oluwakemi Olubunmi Osidele | Nurse Practitioner | 188 Thomas Johnson Dr Ste 102, Frederick, MD 21702 | 2015-09-22 |
1841678562 | Ventzislava Hristova | Spec/Tech, Pathology | 1050 Boyles St. Building 560 Room 12-39, National Cancer Institute - Frederick, Frederick, MD 21702 | 2015-05-14 |
1023404571 | Mychal Lynn Pilia | Advanced Practice Midwife | 7420 Hayward Road, Suite 104, Frederick, MD 21702 | 2015-04-11 |
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Taxonomy Code | 208VP0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pain Medicine |
Specialization | Pain Medicine |
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
Notes: Source: American Academy of Pain Medicine, www.painmed.org - Additional Resources:The American Board of Pain Medicine provides Board Certification. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477595916 | Jeanne Betz Smoot | Pain Medicine | 915 Toll House Ave Ste 103, Frederick, MD 21701-5911 | 2006-06-11 |
1023466851 | Aaa Pain Management | Pain Medicine | 188 Thomas Johnson Dr, 102, Frederick, MD 21702-4505 | 2016-06-02 |
1568781821 | Frederick Memorial Hospital Inc | Pain Medicine | 516 Trail Ave, Frederick, MD 21701-4942 | 2010-05-26 |
1669402939 | Capital Area Pain Management Associates, LLC | Pain Medicine | 141 Thomas Johnson Dr Ste 190, Frederick, MD 21702-4509 | 2006-07-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578087334 | Advanced Pain Management Specialists, LLC | Pain Medicine | 1576 Merritt Blvd Ste 18, Dundalk, MD 21222-2132 | 2017-08-02 |
1407379753 | Advanced Pain Management Specialists, LLC | Pain Medicine | 2960 Technology Pl Ste 103, Waldorf, MD 20601-4968 | 2017-07-19 |
1073035713 | Advanced Pain Management Specialists, LLC | Pain Medicine | 7671 Quarterfield Rd Ste 301, Glen Burnie, MD 21061-4525 | 2017-07-14 |
1811427099 | Janet L. Ascione | Pain Medicine | 166 Defense Hwy Ste 300, Annapolis, MD 21401-8926 | 2017-06-19 |
1730383894 | Paris Chiropractic, PC | Pain Medicine | 46 W Gude Dr Ste B, Suite B, Rockville, MD 20850-4358 | 2007-06-13 |
1023044336 | Capital Pain Management Associates, LLC | Pain Medicine | 7501 Greenway Center Dr Ste 440, Greenbelt, MD 20770-3506 | 2006-06-26 |
1891392775 | Potomac Center for Chronic Pain Management and Wellness, LLC | Pain Medicine | 9658 Marlboro Pike, Upper Marlboro, MD 20772-3767 | 2020-10-05 |
1295369262 | Pain and Spine Specialists of Maryland, LLC | Pain Medicine | 2702 Back Acre Cir Ste 290b, Mount Airy, MD 21771-7769 | 2020-02-27 |
1245897529 | Chesapeake Pain & Wellness | Pain Medicine | 12200 Annapolis Rd Ste 225, Glenn Dale, MD 20769-9182 | 2019-05-22 |
1851888200 | Advanced Pain Management Specialists, LLC | Pain Medicine | 2002 Medical Pkwy Ste 430, Annapolis, MD 21401-3263 | 2018-04-20 |
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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.