INTERVENTIONAL PAIN AND SPINE CARE, LLC (NPI# 1053934174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053934174 |
| Entity Type | Organization |
| Organization Name | INTERVENTIONAL PAIN AND SPINE CARE, LLC |
| Practice Address |
3280 Urbana Pike Ste 207 Ijamsville MD 21754-9406 |
| Mailing Address |
22221 Canterfield Way Germantown MD 20876-4373 |
| Practice Telephone | 5083447263 |
| Mailing Telephone | 5083447263 |
| Enumeration Date | 2020-05-22 |
| Last Update Date | 2020-05-22 |
| Authorized Official Name | DR. JULIET GYEBI-FOSTER (OWNER) |
| Authorized Official Telephone | 5083447263 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
| N | 207LA0401X |
Anesthesiology Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
3280 URBANA PIKE STE 207 |
| City | IJAMSVILLE |
| State | MD |
| Zip Code | 21754-9406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831646975 | Sarah Bowser | Specialist/Technologist | 10275 Quail Creek Place, Ijamsville, MD 21754 | 2016-09-07 |
| 1306240346 | Christopher Kirk Parsons | Massage Therapist | 4436b Ijamsville Rd, Ijamsville, MD 21754 | 2014-10-20 |
| 1619301140 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 3280 Urbana Pike, Ste. 105, Ijamsville, MD 21754 | 2013-09-03 |
| 1922218486 | Robert Alan Kenyon | Dentist | 3280 Urbana Pike, Suite 203, Ijamsville, MD 21754 | 2007-05-23 |
| 1821115700 | Urbana Gi Endoscopy Center, LLC | Clinic/Center | 3280 Urbana Pike, Suite 104, Ijamsville, MD 21754 | 2007-03-23 |
| 1720006851 | Dr Julie Jurd PC | Podiatrist | 3280 Urbana Pike, Suite 202, Urbana, MD 21754 | 2006-07-17 |
| 1649298761 | Julie Anne Jurd | Podiatrist | 3280 Urbana Pike, Suite 202, Ijamsville, MD 21754 | 2006-07-17 |
| 1497299952 | Silver Psychotherapy LLC | Social Worker | 2502 Urbana Pike, Ijamsville, MD 21754-8602 | 2016-12-16 |
| 1396249181 | Marshall Psychotherapy LLC | Clinic/Center | 2502 Urbana Pike, Ijamsville, MD 21754-8602 | 2018-03-19 |
| 1407359268 | Mindful Marriage and Family Therapy, LLC | Clinic/Center | 2502 Urbana Pike, Ijamsville, MD 21754-8602 | 2018-03-16 |
| Find all providers in zip 21754 | ||||
| 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 |
|---|---|---|---|---|
| 1861986572 | Accessible Integrative Medicine, LLC | Anesthesiology | 30 W Gude Dr Ste 375, Rockville, MD 20850-4300 | 2018-06-16 |
| 1760979116 | Advanced Pain Management Specialists, LLC | Anesthesiology | 331 Oak Manor Dr Ste 102, Glen Burnie, MD 21061-5553 | 2018-04-20 |
| 1407367055 | Consuelo Delores Fernandez | Anesthesiology | 6196 Oxon Hill Rd Ste 210, Oxon Hill, MD 20745-3137 | 2017-10-22 |
| 1598217291 | Advanced Pain Management Specialists, LLC | Anesthesiology | 10905 Fort Washington Rd Ste 405, Ft Washington, MD 20744-5807 | 2016-10-28 |
| 1104280957 | Brent Earls | Anesthesiology | 601 N Caroline St # 3062, Baltimore, MD 21287-0006 | 2016-04-07 |
| 1306213186 | Matsunaga Pain Management LLC | Anesthesiology | 8894 Stanford Blvd., Suite 104, Columbia, MD 21045-5161 | 2015-08-27 |
| 1801213863 | Jonathan Sean Woo | Anesthesiology | 22 South Greene Street, Room S11c00, Anestheisology, Baltimore, MD 21201 | 2014-03-27 |
| 1437409844 | Romana Baig | Anesthesiology | 1000 Bestgate Rd, Ste 400, Annapolis, MD 21401-3371 | 2012-09-12 |
| 1730455155 | Kim Vuong Hoang | Anesthesiology | 8455 Colesville Rd Ste 200, Silver Spring, MD 20910 | 2012-03-29 |
| 1295026342 | Anesthesia and Interventional Pain Management Center | Anesthesiology | 12821 Oak Hill Ave Ste 2, Hagerstown, MD 21742-2937 | 2011-04-25 |
| Find all providers with the same taxonomy | ||||
| City | IJAMSVILLE |
| Zip Code | 21754 |
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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.