CHOICE PAIN AND REHABILITATION CENTER (NPI# 1427508878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427508878 |
| Entity Type | Organization |
| Organization Name | CHOICE PAIN AND REHABILITATION CENTER |
| Other Organization Name | CHOICE PAIN AND REHABILITATION CENTER |
| Practice Address |
5430 Campbell Blvd Suite 110b White Marsh MD 21162-5500 |
| Mailing Address |
9900 Greenbelt Rd Suite E117 Lanham MD 20706-2255 |
| Practice Telephone | 2407861001 |
| Practice Fax Number | 2407861002 |
| Mailing Telephone | 2407861001 |
| Mailing Fax Number | 2407861002 |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2016-10-10 |
| Authorized Official Name | TRISTAN J SHOCKLEY (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2407861001 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
D0068884 | MD | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| CHOICE PAIN AND REHABILITATION CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588115554 | Choice Pain and Rehabilitation Center | Physical Medicine & Rehabilitation | 312 Martin Luther King Jr Blvd, Suite 102, Baltimore, MD 21201-1221 | 2016-10-14 |
| Street Address |
5430 CAMPBELL BLVD SUITE 110B |
| 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 |
| 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 |
| 1356619803 | Maryland Interventional Pain Management LLC | Internal Medicine | 5430 Campbell Blvd, Suite 106, White Marsh, MD 21162-5500 | 2011-12-12 |
| 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 | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003927989 | Mark Allen Young | Physical Medicine & Rehabilitation | 5430 Campbell Blvd, Suite 205, White Marsh, MD 21162-5500 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285123869 | Eastside Medical Care | Physical Medicine & Rehabilitation | 732b E Main St, Salisbury, MD 21804-5037 | 2018-05-09 |
| 1225588676 | Choice Pain & Rebabilitation Center LLC | Physical Medicine & Rehabilitation | 7106 Ridge Rd Ste 100, Rosedale, MD 21237-3876 | 2016-10-10 |
| 1497203558 | Choice Pain & Rebabilitation Center LLC | Physical Medicine & Rehabilitation | 6615 Reisterstown Rd Ste 302, Baltimore, MD 21215-2689 | 2016-09-19 |
| 1558757914 | Choice Pain & Rebabilitation Center LLC | Physical Medicine & Rehabilitation | 3413 Olandwood Ct Ste 103, Olney, MD 20832-1489 | 2015-04-13 |
| 1033505391 | Choice Pain & Rebabilitation Center LLC | Physical Medicine & Rehabilitation | 6475 New Hampshire Ave Ste 620, Hyattsville, MD 20783-3280 | 2015-04-13 |
| 1477948842 | Choice Pain & Rebabilitation Center LLC | Physical Medicine & Rehabilitation | 1005 Northpoint Blvd Ste 722, Baltimore, MD 21224-3402 | 2015-04-02 |
| 1225459936 | Pain and Wellness Center of Maryland, LLC | Physical Medicine & Rehabilitation | 601 Post Office Rd Ste 2a, Waldorf, MD 20602 | 2013-12-23 |
| 1922429935 | Health Management and Rehabilitation LLC | Physical Medicine & Rehabilitation | 13907 Willow Tree Dr, Rockville, MD 20850-5434 | 2013-12-17 |
| 1548681638 | Better Life Pain Clinic, Pllc | Physical Medicine & Rehabilitation | 3459 St. John's Lane, Suite 9, Ellicott City, MD 21042 | 2013-12-17 |
| 1871868539 | Physical Medicine Associates Ltd | Physical Medicine & Rehabilitation | 174 Waterfront St, Suite 320, National Harbor, MD 20745 | 2012-03-14 |
| 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.