WHITE MARSH HEALTHCARE & PHYSICAL MEDICINE,LLC (NPI# 1578928289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578928289 |
| Entity Type | Organization |
| Organization Name | WHITE MARSH HEALTHCARE & PHYSICAL MEDICINE,LLC |
| Other Organization Name | BALTIMORE PAIN RELIEF CENTERS |
| Practice Address |
312 Martin Luther King Jr Blvd Baltimore MD 21201-1221 |
| Mailing Address |
5430 Campbell Blvd Suite 106 White Marsh MD 21162-5500 |
| Practice Telephone | 4437254930 |
| Practice Fax Number | 4106577478 |
| Mailing Telephone | 4437254930 |
| Mailing Fax Number | 4106577478 |
| Enumeration Date | 2015-12-22 |
| Last Update Date | 2015-12-22 |
| Authorized Official Name | TIMOTHY 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 | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| BALTIMORE PAIN RELIEF CENTERS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306210521 | White Marsh Healthcare & Physical Medicine,llc | Chiropractor | 4552 Edmondson Ave, Baltimore, MD 21229-1506 | 2015-11-27 |
| 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 |
312 MARTIN LUTHER KING JR BLVD |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21201-1221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730387796 | Shahzad Alam Usmani | Internal Medicine | 312 Martin Luther King Jr Blvd, Baltimore, MD 21201-1221 | 2007-07-10 |
| 1588115554 | Choice Pain and Rehabilitation Center | Physical Medicine & Rehabilitation | 312 Martin Luther King Jr Blvd, Suite 102, Baltimore, MD 21201-1221 | 2016-10-14 |
| 1568919793 | Transformation Health Psychiatric Rehabilitation Program | Community/Behavioral Health | 312 Martin Luther King Jr Blvd, Suite 103, Baltimore, MD 21201-1221 | 2016-09-06 |
| 1336540921 | Mary Lynn Mcpherson | Pharmacist | 312 Martin Luther King Jr Blvd, Baltimore, MD 21201-1221 | 2014-09-15 |
| 1194139394 | Tolulope Lawson-john | Nurse Practitioner | 312 Martin Luther King Jr Blvd, 102, Baltimore, MD 21201-1221 | 2014-06-16 |
| 1700219656 | Renew-rebuild-rehabilitate Chiropractic Center, LLC | Chiropractor | 312 Martin Luther King Jr Blvd, Suite 100, Baltimore, MD 21201-1221 | 2013-08-14 |
| 1902158678 | Bravo Health Advanced Care Center, P.C. | Family Medicine | 312 Martin Luther King Jr Blvd, Baltimore, MD 21201-1221 | 2012-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585470 | Meshref Ayed Alshehri | Student in an Organized Health Care Education/Training Program | 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-07-08 |
| 1306462411 | Michael Julian Wong | Student in an Organized Health Care Education/Training Program | University of Maryland, Department of Anesthesiology, 22 S Green St, S11b, Baltimore, MD 21201 | 2020-06-24 |
| 1740817733 | Martha Kaitlyn Coghlan | Student in an Organized Health Care Education/Training Program | Ummc Ob/gyn, 22 S. Greene St., Baltimore, MD 21201 | 2020-03-27 |
| 1629606637 | Taylor Renee Kai | Student in an Organized Health Care Education/Training Program | University of Maryland, 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-03-27 |
| 1295362697 | Brittany A Oster | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street 6th Floor, Suite 300, Baltimore, MD 21201 | 2020-03-25 |
| 1346877735 | Kayvon Michael Mobarakeh | Student in an Organized Health Care Education/Training Program | University of Maryland Department of Anesthesiology, 22 S Greene St, S11c, Baltimore, MD 21201 | 2020-03-25 |
| 1598392284 | Zachary Allan Hagen | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, 6th Flr., Suite 200, Baltimore, MD 21201 | 2020-03-24 |
| 1700430055 | Jaime Semchuk | Student in an Organized Health Care Education/Training Program | 737 West Lombard, Baltimore, MD 21201 | 2019-07-25 |
| 1952861619 | Zachary Daniel Sanford | Student in an Organized Health Care Education/Training Program | 22 S Greene Street S8b12, Baltimore, MD 21201 | 2019-03-20 |
| 1114487840 | Spencer Sykes Lovegrove | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, Sixth Floor, Suite 200, Baltimore, Sixth Floor, Suite 200, Baltimore, MD 21201 | 2019-03-20 |
| Find all providers in zip 21201 | ||||
| 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 |
| 1477948842 | Choice Pain & Rebabilitation Center LLC | Physical Medicine & Rehabilitation | 1005 Northpoint Blvd Ste 722, Baltimore, MD 21224-3402 | 2015-04-02 |
| 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 |
| 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.