ANNAPOLIS PAIN MANAGEMENT, LLC (NPI# 1073052353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073052353 |
Entity Type | Organization |
Organization Name | ANNAPOLIS PAIN MANAGEMENT, LLC |
Other Organization Name | GREEN LIFE CHIROPRACTIC & WELLNESS |
Practice Address |
45 Old Solomons Island Rd Suite 205 Annapolis MD 21401-3858 |
Practice Telephone | 4102244348 |
Practice Fax Number | 4102244732 |
Mailing Telephone | 4102244348 |
Mailing Fax Number | 4102244732 |
Enumeration Date | 2017-02-20 |
Last Update Date | 2017-08-28 |
Authorized Official Name | DR. BRANDT GREEN (DOCTOR OF CHIROPRACTIC) |
Authorized Official Telephone | 4102244348 |
Authorized Official Credential | D.C. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
S03711 | MD | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Green Life Chiropractic & Wellness | Former Legal Business Name - Organization |
Street Address |
45 OLD SOLOMONS ISLAND RD SUITE 205 |
City | ANNAPOLIS |
State | MD |
Zip Code | 21401-3858 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457480972 | Karen Helfman | Social Worker | 45 Old Solomons Island Rd, Suite 204, Annapolis, MD 21401-3858 | 2007-03-02 |
1871084038 | Alyaen Francisco Cucuta | Chiropractor | 45 Old Solomons Island Rd, Annapolis, MD 21401-3858 | 2018-05-23 |
1295101566 | Wayward Inc | Ambulance | 45 Old Solomons Island Rd, Suite 201, Annapolis, MD 21401-3858 | 2015-08-20 |
1881934875 | Brandt L Green | Chiropractor | 45 Old Solomons Island Rd, Suite 102, Annapolis, MD 21401-3858 | 2013-02-27 |
1275873259 | Mary E Steele | Chiropractor | 45 Old Solomons Island Rd, Suite 102, Annapolis, MD 21401-3858 | 2013-02-27 |
1013257120 | Green Life Chiropractic & Wellness, LLC | Chiropractor | 45 Old Solomons Island Rd, Suite 102, Annapolis, MD 21401-3858 | 2013-02-26 |
1073806907 | Patricia Sollock | Counselor | 45 Old Solomons Island Rd, Suite 204, Annapolis, MD 21401-3858 | 2011-05-25 |
1780840512 | Cheryl Michels | Social Worker | 45 Old Solomons Island Rd, Suite 204, Annapolis, MD 21401-3858 | 2008-07-31 |
1902074099 | Daniella Brown | Social Worker | 45 Old Solomons Island Rd, Suite 204, Annapolis, MD 21401-3858 | 2008-02-12 |
1518986793 | Family and Children's Services | Counselor | 45 Old Solomons Island Rd, Annapolis, MD 21401-3858 | 2006-07-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497377154 | Michael Khorsandi | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 | 2020-05-15 |
1275172033 | Katrice N Nelson | Massage Therapist | Wellsview Cottage Center, 613 Ridgely Avenue, Annapolis, MD 21401 | 2019-12-27 |
1548803521 | Victoria Reimnitz | Behavioral Analyst | 2028 Indusrtrial Dr, Ste B&c, Annapolis, MD 21401 | 2019-10-23 |
1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
1316504848 | Sherina Maryam Shamsa | Counselor | 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 | 2019-05-21 |
1497225288 | Jerilyn Deitch | Speech-Language Pathologist | Anne Arundel County Public Schools, 2644 Riva Rd, Annapolis, MD 21401 | 2018-12-05 |
1487124038 | Lucinda W Mimms | Speech-Language Pathologist | 2644 Riva Rd., Annapolis, MD 21401 | 2018-11-27 |
1487145496 | Michelle Baudean | Behavior Technician | 1919 West St Ste 201, Annapolis, MD 21401 | 2018-05-24 |
1730678954 | Stephanie Ruth Streb | Registered Nurse | 130 Admiral Cochrane Dr Ste 103, Annapolis, MD 21401 | 2018-05-02 |
1780183947 | Annapolis Sleep Center LLC | Clinic/Center | 2451 Riva Rd, Annapolis, MD 21401 | 2018-02-02 |
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Taxonomy Code | 208VP0014X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pain Medicine |
Specialization | Interventional Pain Medicine |
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699837260 | Damean William Freas | Pain Medicine | 116 Defense Hwy, Suite 403, Annapolis, MD 21401-7027 | 2006-12-13 |
1225036684 | Paul W. Davies | Pain Medicine | 116 Defense Hwy, Suite 403, Annapolis, MD 21401-7027 | 2005-07-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679112650 | Center for Pain Management, LLC | Pain Medicine | 3407 Wilkens Ave Ste 240, Baltimore, MD 21229-5222 | 2019-12-23 |
1578078804 | Center for Pain Management, LLC | Pain Medicine | 5801 Allentown Road, 503, Suitland, MD 20746 | 2017-12-08 |
1508384116 | Zainab Bundu | Pain Medicine | 135 Bowie Rd, Laurel, MD 20707-4631 | 2017-09-04 |
1164781472 | Center for Pain Management,llc | Pain Medicine | 8824 Cunningham Dr Ste B, Berwyn Heights, MD 20740-2338 | 2012-05-07 |
1245596139 | Harrison Linder | Pain Medicine | 345 Saint Paul St Fl 4, Baltimore, MD 21202-2123 | 2012-04-05 |
1568601656 | Washington Metro Pain Institute | Pain Medicine | 7300 Hanover Drive # 204, Greenbelt, MD 20770 | 2009-02-12 |
1285896696 | Kenneth J. Murray, P.a. | Pain Medicine | 1310 Ruxton Rd, Towson, MD 21204-6601 | 2008-06-26 |
1619170685 | Janak A Vidyarthi | Pain Medicine | 1130 Annapolis Rd, Suite 100, Odenton, MD 21113-1648 | 2007-06-07 |
1336230416 | Carey-walter Franklin Closson | Pain Medicine | 16900 Science Dr, Ste100, Bowie, MD 20715-4401 | 2006-09-27 |
1396755286 | Christopher James Galuardi | Pain Medicine | 10308 Old Ocean City Blvd, Berlin, MD 21811-1132 | 2006-08-09 |
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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.