MARYLAND INTERVENTIONAL PAIN MANAGEMENT LLC (NPI# 1356619803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356619803 |
| Entity Type | Organization |
| Organization Name | MARYLAND INTERVENTIONAL PAIN MANAGEMENT LLC |
| Practice Address |
5430 Campbell Blvd Suite 106 White Marsh MD 21162-5500 |
| Practice Telephone | 4437254930 |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2011-12-12 |
| Authorized Official Name | MARY MARTELLONI (PRACTICE ADM) |
| Authorized Official Telephone | 8654660650 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Street Address |
5430 CAMPBELL BLVD SUITE 106 |
| City | WHITE MARSH |
| State | MD |
| Zip Code | 21162-5500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568423606 | Sudhir Sekhsaria | Allergy & Immunology | 5430 Campbell Blvd, Suite 103, White Marsh, MD 21162-5500 | 2006-03-29 |
| 1548758493 | Annette M. Schlossnagle | Social Worker | 5430 Campbell Blvd, White Marsh, MD 21162-5500 | 2018-04-26 |
| 1427508878 | Choice Pain and Rehabilitation Center | Physical Medicine & Rehabilitation | 5430 Campbell Blvd, Suite 110b, White Marsh, MD 21162-5500 | 2016-10-10 |
| 1376990200 | White Marsh Healthcare Physical Medicine,llc | Clinical Medical Laboratory | 5430 Campbell Blvd, Suite 106, White Marsh, MD 21162-5500 | 2016-05-20 |
| 1942674163 | White Marsh Healthcare & Physical Medicine,llc | Clinical Medical Laboratory | 5430 Campbell Blvd, Ste 106, White Marsh, MD 21162-5500 | 2015-11-27 |
| 1972971968 | Michelle Okafor | Audiologist | 5430 Campbell Blvd, Suite 212, White Marsh, MD 21162-5500 | 2015-09-08 |
| 1417364340 | Mohamad Alabrash, M.d. | Internal Medicine | 5430 Campbell Blvd, White Marsh, MD 21162-5500 | 2014-07-11 |
| 1083987317 | Amber Giesel Viel | Nurse Practitioner | 5430 Campbell Blvd, Suite 103, White Marsh, MD 21162-5500 | 2012-02-16 |
| 1508135328 | Julien Mignon | Chiropractor | 5430 Campbell Blvd, Suite 106, White Marsh, MD 21162-5500 | 2011-12-22 |
| 1568749125 | Maryland Interventional Pain Management, LLC | Chiropractor | 5430 Campbell Blvd, Suite 106, White Marsh, MD 21162-5500 | 2011-11-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285250191 | Michael Nwandu Dnp, Pmhnp-bc, LLC | Clinic/Center | 5702 Country Farm Road, White Marsh, MD 21162 | 2020-06-17 |
| 1104168590 | Justin Ryan Brooks | General Practice | 11500 Lipscomb Way, White Marsh, MD 21162 | 2013-03-23 |
| 1841410974 | Glenn Paul Miller | Dentist | 11550 Philadelphia Road Suite #118, Whitemarsh, MD 21162 | 2007-04-30 |
| 1063722700 | White Marsh Healthcare Physical Medicine LLC | Chiropractor | 5430 Campbell Blvd., Ste. 106, White Marsh, MD 21162 | 2010-10-15 |
| 1275164139 | Maria Lourdes Evangelista | Nurse Practitioner | 5728 Fieldcrest Dr, White Marsh, MD 21162-1143 | 2020-01-30 |
| 1730669771 | Marilyn C Hernandez | Nurse Practitioner | 5700 Fieldcrest Dr, White Marsh, MD 21162-1143 | 2018-08-20 |
| 1639635584 | Rebecca Dawn Rock | Social Worker | 5717 Fieldcrest Dr, White Marsh, MD 21162-1144 | 2019-02-15 |
| 1508245564 | Watermark Health Services LLC | Home Health | 11511 Ridgedale Dr, White Marsh, MD 21162-1146 | 2015-05-23 |
| 1275845521 | Martha Angela Montemar | Physical Therapist | 5606 Crescent Ridge Dr, White Marsh, MD 21162-1149 | 2010-07-01 |
| 1952925836 | Allstar Care Agency, LLC | Home Health | 11586 Autumn Terrace Dr, White Marsh, MD 21162-1151 | 2020-06-05 |
| Find all providers in zip 21162 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1427609429 | Active Spine & Rehab, LLC | Clinic/Center | 802 Cromwell Park Dr, Glen Burnie, MD 21061-2563 | 2019-09-23 |
| 1144888025 | Ethos Health Maryland 1, LLC | Clinic/Center | 4940 Campbell Blvd Ste 130, Nottingham, MD 21236-5910 | 2019-06-05 |
| 1740847201 | Swiftcare Family Clinic and Wellness Inc | Clinic/Center | 1841/1843 Brightseat Road, Landover, MD 20785-2078 | 2019-05-21 |
| 1285102764 | Black Rock Integrative Medicine | Clinic/Center | 17666 Technology Blvd, Hagerstown, MD 21740-2074 | 2018-11-02 |
| 1639664683 | The Heard Group, LLC | Clinic/Center | 6284 Hard Bargain Cir, Indian Head, MD 20640 | 2018-06-22 |
| Find all providers with the same taxonomy | ||||
| City | WHITE MARSH |
| Zip Code | 21162 |
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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.