WHITE MARSH HEALTHCARE & PHYSICAL MEDICINE,LLC (NPI# 1306210521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306210521 |
| Entity Type | Organization |
| Organization Name | WHITE MARSH HEALTHCARE & PHYSICAL MEDICINE,LLC |
| Other Organization Name | BALTIMORE PAIN RELIEF CENTER |
| Practice Address |
4552 Edmondson Ave Baltimore MD 21229-1506 |
| Mailing Address |
5430 Campbell Blvd White Marsh MD 21162-5500 |
| Practice Telephone | 4437254930 |
| Practice Fax Number | 6672122311 |
| Mailing Telephone | 4437254930 |
| Mailing Fax Number | 4106577478 |
| Enumeration Date | 2015-11-27 |
| Last Update Date | 2015-11-27 |
| Authorized Official Name | DR. T GOBER (PROVIDER/OWNER) |
| Authorized Official Telephone | 4437254930 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | Chiropractic Providers | ||
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Baltimore Pain Relief Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578928289 | White Marsh Healthcare & Physical Medicine,llc | Chiropractor | 312 Martin Luther King Jr Blvd, Baltimore, MD 21201-1221 | 2015-12-22 |
| 1942674163 | White Marsh Healthcare & Physical Medicine,llc | Clinical Medical Laboratory | 5430 Campbell Blvd, Ste 106, White Marsh, MD 21162-5500 | 2015-11-27 |
| 1528432721 | White Marsh Healthcare & Physical Medicine,llc | Chiropractor | 4000 Old Court Rd, Ste 105, Pikesville, MD 21208-2800 | 2015-11-25 |
| 1598139792 | White Marsh Healthcare & Physical Medicine,llc | Chiropractor | 2225 N Charles St, Baltimore, MD 21218-5778 | 2015-11-25 |
| Street Address |
4552 EDMONDSON AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21229-1506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306312897 | Time Organization, Inc | Clinic/Center | 4552 Edmondson Ave, Baltimore, MD 21229-1506 | 2018-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265068373 | Bodyworks Medical | Clinic/Center | St. Agnes Medical Center, 3455 Wilkens Ave Suite 100, Baltimore, MD 21229 | 2020-03-20 |
| 1750932430 | Amanda Felix | Nurse Practitioner | 5411 Old Frederick Road, Catonsville, MD 21229 | 2019-09-24 |
| 1497317853 | Wakeelat A Adeoye | Nurse Practitioner | 5411 0ld Fredrick Rd, Suite 7, Baltimore, MD 21229 | 2019-07-05 |
| 1598328080 | Oprah Cherelle Keyes | Social Worker | 4511 Birchwood Drive, Baltimore, MD 21229 | 2019-04-19 |
| 1477051779 | Shahin Vohara | Dentist | Dental Dreams, 4510 Edmondson Avenue, Edmondson Village Shopping Center, Baltimore, MD 21229 | 2018-02-01 |
| 1386179299 | Sharon Mccollough | Counselor | 3219 Phelps Lane, First Floor, Baltimore, MD 21229 | 2017-04-28 |
| 1184175697 | Yekeen Odewale | Registered Nurse | 5411 Old Frederick Rd Ste 7, Baltimore, MD 21229 | 2016-10-19 |
| 1942608070 | Charity Ashe | Social Worker | 4024 Colborne Rd, Baltimore, MD 21229 | 2014-12-05 |
| 1376947127 | Sumanya Venkat Rao | Dentist | 4510 Edmondson Ave, Baltimore, MD 21229 | 2014-10-21 |
| 1497091573 | Anita Phillips | Social Worker | 5110 Frederick Avenue, Baltimore, MD 21229 | 2012-12-18 |
| Find all providers in zip 21229 | ||||
| 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 |
|---|---|---|---|---|
| 1679112650 | Center for Pain Management, LLC | Pain Medicine | 3407 Wilkens Ave Ste 240, Baltimore, MD 21229-5222 | 2019-12-23 |
| 1245596139 | Harrison Linder | Pain Medicine | 345 Saint Paul St Fl 4, Baltimore, MD 21202-2123 | 2012-04-05 |
| 1376888792 | Center for Pain Management,llc | Pain Medicine | 6820 Hospital Dr, Suite302, Baltimore, MD 21237-4352 | 2012-12-11 |
| 1366470965 | Rhonda Zuckerman | Pain Medicine | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2006-06-30 |
| 1972531895 | Bradford Winters | Pain Medicine | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2006-06-29 |
| 1750319877 | Neal Sakima | Pain Medicine | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2006-06-29 |
| 1902834278 | Kayode Williams | Pain Medicine | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2006-06-28 |
| 1851335848 | Karen Lindeman | Pain Medicine | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2006-06-16 |
| 1881634574 | Edward John Norris | Pain Medicine | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2006-06-08 |
| 1447290523 | Eric Jackson | Pain Medicine | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2006-06-07 |
| Find all providers in BALTIMORE | ||||
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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.