CENTER FOR PAIN MANAGEMENT LLC (NPI# 1528535127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528535127 |
| Entity Type | Organization |
| Organization Name | CENTER FOR PAIN MANAGEMENT LLC |
| Practice Address |
75 Thomas Johnson Drive Suite C Frederick MD 21702-4895 |
| Mailing Address |
11350 Mccormick Road Ep1, Suite 501 Hunt Valley MD 21031-1002 |
| Practice Telephone | 3016200012 |
| Practice Fax Number | 3016209687 |
| Mailing Telephone | 4103291071 |
| Mailing Fax Number | 4103291054 |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2018-11-01 |
| Authorized Official Name | ANISH SHARAD PATEL (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3016200012 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTER FOR PAIN MANAGEMENT LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225690076 | Center for Pain Management LLC | Clinic/Center | 6060 N Fountain Drive, Tucson, AZ 85741 | 2019-07-02 |
| 1619444213 | Center for Pain Management LLC | Non-Pharmacy Dispensing Site | 940 Seton Dr Ste A, Cumberland, MD 21502-1871 | 2018-11-01 |
| 1518434117 | Center for Pain Management LLC | Non-Pharmacy Dispensing Site | 8455 Colesville Road, Suite 200, Silver Spring, MD 20910 | 2018-11-01 |
| 1003383720 | Center for Pain Management LLC | Non-Pharmacy Dispensing Site | 6820 Hospital Dr Ste 302, Baltimore, MD 21237-4362 | 2018-10-31 |
| 1003383654 | Center for Pain Management LLC | Non-Pharmacy Dispensing Site | 1838 Greene Tree Rd Ste 150, Pikesville, MD 21208-7100 | 2018-10-31 |
| 1629545272 | Center for Pain Management LLC | Non-Pharmacy Dispensing Site | 510 Upper Chesapeake Dr Ste 415, Bel Air, MD 21014-4336 | 2018-10-31 |
| 1245707843 | Center for Pain Management LLC | Non-Pharmacy Dispensing Site | 1600 Crain Hwy S Ste 301, Glen Burnie, MD 21061-6446 | 2018-11-01 |
| 1700353307 | Center for Pain Management LLC | Non-Pharmacy Dispensing Site | 19735 Germantown Road, Suite 360, Germantown, MD 20874 | 2018-11-01 |
| 1437626033 | Center for Pain Management LLC | Non-Pharmacy Dispensing Site | 1150 Professional Ct Ste P, Hagerstown, MD 21740-4100 | 2018-11-01 |
| 1346717949 | Center for Pain Management LLC | Non-Pharmacy Dispensing Site | 11921 Rockville Pike, Suite 505, Rockville, MD 20852 | 2018-11-01 |
| Street Address |
75 THOMAS JOHNSON DRIVE SUITE C |
| City | FREDERICK |
| State | MD |
| Zip Code | 21702-4895 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194729459 | Brian Keith Tuckey | Physical Therapist | 75 Thomas Johnson Drive, Suite L, Frederick, MD 21702-5125 | 2005-06-02 |
| 1881753689 | Tanya S Dewitt | Obstetrics & Gynecology | 75 Thomas Johnson Drive, Suite J, Frederick, MD 21702-4895 | 2006-12-07 |
| 1427030170 | Rachel I Mandel | Obstetrics & Gynecology | 75 Thomas Johnson Drive, Suite J, Frederick, MD 21702-4895 | 2005-11-17 |
| 1669479382 | Christopher Peter Butler | Physical Therapist | 75 Thomas Johnson Drive, Suite L, Frederick, MD 21702-4895 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129714 | Rita Akowuah | Nurse Practitioner | 1302 Baker Place East Apt 14, Frederick, MD 21702 | 2020-09-18 |
| 1912416272 | Morgan Nicely | Behavior Technician | 65 Thomas Johnson Drive Suite A, Frederick, MD 21702 | 2017-09-29 |
| 1154840494 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 184 Thomas Johnson Dr Ste 104, Frederick, MD 21702 | 2017-09-19 |
| 1831617471 | Hazel Elizabeth Gill | Physical Therapy Assistant | 2007 Butterfield Overlook, Frederick, MD 21702 | 2017-09-05 |
| 1831610161 | William Haynes | Nurse Practitioner | 103 Water Land Ct., Frederick, MD 21702 | 2017-06-27 |
| 1497299333 | Timothy Stimach | Pharmacist | 1430b W Patrick St, Frederick, MD 21702 | 2016-12-12 |
| 1184167405 | Maryland Nutrition and Diet Services, L.L.C. | Dietitian, Registered | 1301 W. 7th Street, No. 1607, Frederick, MD 21702 | 2016-11-18 |
| 1649649468 | Oluwakemi Olubunmi Osidele | Nurse Practitioner | 188 Thomas Johnson Dr Ste 102, Frederick, MD 21702 | 2015-09-22 |
| 1841678562 | Ventzislava Hristova | Spec/Tech, Pathology | 1050 Boyles St. Building 560 Room 12-39, National Cancer Institute - Frederick, Frederick, MD 21702 | 2015-05-14 |
| 1023404571 | Mychal Lynn Pilia | Advanced Practice Midwife | 7420 Hayward Road, Suite 104, Frederick, MD 21702 | 2015-04-11 |
| Find all providers in zip 21702 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487794673 | Potomac Medical LLC | Non-Pharmacy Dispensing Site | 420 E Patrick St, Suite 200, Frederick, MD 21701-5658 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144864489 | Welldoc, Inc. | Non-Pharmacy Dispensing Site | 10221 Wincopin Cir Ste 150, Columbia, MD 21044-3444 | 2019-10-30 |
| 1619444213 | Center for Pain Management LLC | Non-Pharmacy Dispensing Site | 940 Seton Dr Ste A, Cumberland, MD 21502-1871 | 2018-11-01 |
| 1518434117 | Center for Pain Management LLC | Non-Pharmacy Dispensing Site | 8455 Colesville Road, Suite 200, Silver Spring, MD 20910 | 2018-11-01 |
| 1003383720 | Center for Pain Management LLC | Non-Pharmacy Dispensing Site | 6820 Hospital Dr Ste 302, Baltimore, MD 21237-4362 | 2018-10-31 |
| 1003383654 | Center for Pain Management LLC | Non-Pharmacy Dispensing Site | 1838 Greene Tree Rd Ste 150, Pikesville, MD 21208-7100 | 2018-10-31 |
| 1629545272 | Center for Pain Management LLC | Non-Pharmacy Dispensing Site | 510 Upper Chesapeake Dr Ste 415, Bel Air, MD 21014-4336 | 2018-10-31 |
| 1144744707 | Patient First Maryland Medical Group Pllc | Non-Pharmacy Dispensing Site | 6201 Annapolis Road, Landover Hills, MD 20784 | 2017-07-26 |
| 1093178923 | Jeffrey Y H Chung LLC | Non-Pharmacy Dispensing Site | 14201 Laurel Park Dr Ste 104, Laurel, MD 20707-5203 | 2016-03-29 |
| 1922469865 | Choice Pain & Rebabilitation Center LLC | Non-Pharmacy Dispensing Site | 5102 Cornelias Prospect Dr, Bowie, MD 20720-3375 | 2016-03-18 |
| 1871967414 | Annapolis Foot and Ankle Center | Non-Pharmacy Dispensing Site | 130 Love Point Rd Ste 103, Stevensville, MD 21666-2132 | 2015-11-19 |
| Find all providers with the same taxonomy | ||||
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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.