CHOICE PAIN & REBABILITATION CENTER LLC (NPI# 1477948842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477948842 |
| Entity Type | Organization |
| Organization Name | CHOICE PAIN & REBABILITATION CENTER LLC |
| Practice Address |
1005 Northpoint Blvd Ste 722 Baltimore MD 21224-3402 |
| Mailing Address |
8843 Greenbelt Rd Ste 117 Greenbelt MD 20770-2451 |
| Practice Telephone | 2407861001 |
| Practice Fax Number | 2407861002 |
| Mailing Telephone | 2407861001 |
| Mailing Fax Number | 2407861002 |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2020-06-18 |
| Authorized Official Name | DR. TRISTAN JULIUS SHOCKLEY (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2024891100 |
| 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 |
D008884 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | PTAN | 299001 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1005 Northpoint Blvd Ste 722, Baltimore, MD 212243402 | 2407861001 | 2407861002 |
| 3311 Toledo Ter, Suite A1, Hyattsville, MD 207824135 | 2407861001 | 2407861002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1922469865 | Choice Pain & Rebabilitation Center LLC | Non-Pharmacy Dispensing Site | 5102 Cornelias Prospect Dr, Bowie, MD 20720-3375 | 2016-03-18 |
| 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 |
| 1871043190 | Choice Pain & Rebabilitation Center LLC | Physical Medicine & Rehabilitation | 18540 Office Park Dr, Montgomery Village, MD 20886-0586 | 2016-10-11 |
| Street Address |
1005 NORTHPOINT BLVD STE 722 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21224-3402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710595517 | Lisa Farinelli | Registered Nurse | 251 Bayview Bldv, Baltimore, MD 21224 | 2020-07-17 |
| 1891303038 | Lorenzo Leggio | General Practice | Nih/nida, Bayview Campus, Brc, 251 Bayview Boulevard, Room 01a844, Baltimore, MD 21224 | 2020-07-14 |
| 1922622737 | Johns Hopkins Bayview Medical Center, Inc. | Community/Behavioral Health | 5500 E. Lombard Street, Room 1025, Baltimore, MD 21224 | 2020-06-08 |
| 1558995670 | Myeong Hyun Chae | Dentist | 7839 Eastern Ave, Baltimore, MD 21224 | 2020-02-27 |
| 1720627581 | Johns Hopkins Bayview Medical Center, Inc. | Clinic/Center | 5500 East Lombard Street, Room 1025, Baltimore, MD 21224 | 2019-12-27 |
| 1194288431 | Tawny Meagan Epperson | Counselor | 5500 E Lombard Street, Community Psychiatry, Child Mobile Treatment Services, Baltimore, MD 21224 | 2019-04-12 |
| 1437613163 | Johns Hopkins University | Internal Medicine | 5210 Eastern Avenue, Alpha Center, Baltimore, MD 21224 | 2019-01-28 |
| 1669993606 | Maria Giannas | Pharmacist | 6510 O'donnell St, Baltimore, MD 21224 | 2017-06-29 |
| 1588193437 | Heather Ann Sand | Social Worker | 1501 S Clinton Street, Mailstop Ct 05-13, Baltimore, MD 21224 | 2017-06-05 |
| 1912447822 | Jennifer Ann Maser Hermann | Counselor | 4637 Hudson Street, Baltimore, MD 21224 | 2017-02-27 |
| Find all providers in zip 21224 | ||||
| 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 |
|---|---|---|---|---|
| 1497203558 | Choice Pain & Rebabilitation Center LLC | Physical Medicine & Rehabilitation | 6615 Reisterstown Rd Ste 302, Baltimore, MD 21215-2689 | 2016-09-19 |
| 1295789311 | Norman B Rosen | Physical Medicine & Rehabilitation | 1001 Cromwell Bridge Rd Ste 200, Baltimore, MD 21286-3330 | 2006-05-22 |
| 1487612263 | Robert Alan Lavin | Physical Medicine & Rehabilitation | 10 N Greene St., Suite 4a-150, Bt - 127, Dept. of Neurology, Baltimore, MD 21201-1524 | 2006-05-02 |
| 1972150126 | Johns Hopkins University | Physical Medicine & Rehabilitation | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2019-08-22 |
| 1588115554 | Choice Pain and Rehabilitation Center | Physical Medicine & Rehabilitation | 312 Martin Luther King Jr Blvd, Suite 102, Baltimore, MD 21201-1221 | 2016-10-14 |
| 1013275981 | Sinai Hospital of Baltimore, Inc | Physical Medicine & Rehabilitation | 2401 W Belvedere Ave, Rehab Pain Medicine, Baltimore, MD 21215-5216 | 2012-04-30 |
| 1730404153 | Alfredo B Caragay | Physical Medicine & Rehabilitation | 1120 Saint Paul St, Ground Level, Baltimore, MD 21202-2618 | 2010-03-29 |
| 1033359336 | Behnam Jafarpour | Physical Medicine & Rehabilitation | 3421 Benson Ave, Suite 210, Baltimore, MD 21227-1056 | 2009-02-25 |
| 1457481194 | Gabriel A Martinez Geigel | Physical Medicine & Rehabilitation | 9106 Philadelphia Road, Suite 306, Baltimore, MD 21237 | 2007-03-06 |
| 1790834125 | Julie Tu Hoang | Physical Medicine & Rehabilitation | 3333 N Calvert St Ste 400, Baltimore, MD 21218-6501 | 2007-01-08 |
| 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.