WESTERN MARYLAND PAIN & REHABILITATION CENTER LLC. (NPI# 1780007443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780007443 |
| Entity Type | Organization |
| Organization Name | WESTERN MARYLAND PAIN & REHABILITATION CENTER LLC. |
| Practice Address |
1050 W Industrial Blvd Cumberland MD 21502-4331 |
| Mailing Address |
1050 W Industrial Blvd Suite 18 Cumberland MD 21502-4331 |
| Practice Telephone | 2022883400 |
| Practice Fax Number | 3016245393 |
| Mailing Telephone | 2403627220 |
| Mailing Fax Number | 2403627415 |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2018-06-20 |
| Authorized Official Name | PATRICK ESKEW (CFO) |
| Authorized Official Telephone | 2022883400 |
| Is Organization Subpart | Y |
| Parent Organization Name | POTOMAC HEALTHCARE ALLIANCE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
========= | MD | Ambulatory Health Care Facilities |
| Street Address |
1050 W INDUSTRIAL BLVD |
| City | CUMBERLAND |
| State | MD |
| Zip Code | 21502-4331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053310078 | James B. Deren | Internal Medicine | 1050 W Industrial Blvd, Cumberland, MD 21502-4331 | 2005-07-20 |
| 1255610580 | Anupama Shankar Khandare | Family Medicine | 1050 W Industrial Blvd, Cumberland, MD 21502-4331 | 2011-08-04 |
| 1548559545 | Vamsi Kanumuri | Preventive Medicine | 1050 W Industrial Blvd, Cumberland, MD 21502-4331 | 2011-03-31 |
| 1275850638 | Frances Weber | Nurse Practitioner | 1050 W Industrial Blvd, Cumberland, MD 21502-4331 | 2010-04-26 |
| 1083936629 | Upmc Western Maryland Corporation | Clinic/Center | 1050 W Industrial Blvd, Cumberland, MD 21502-4331 | 2010-02-24 |
| 1336374255 | Bhavani Vaddey | Family Medicine | 1050 W Industrial Blvd, South Cumberland Market Plc Primary Care, Cumberland, MD 21502-4331 | 2009-05-21 |
| 1962663880 | Erin Louise Meisel | Pharmacist | 1050 W Industrial Blvd, Suite 5, Cumberland, MD 21502-4331 | 2008-06-23 |
| 1952516296 | Western Maryland Health System Corporation | Hospice Care, Community Based | 1050 W Industrial Blvd, Cumberland, MD 21502-4331 | 2007-05-11 |
| 1821055393 | Upmc Western Maryland Corporation | Home Health | 1050 W Industrial Blvd, Cumberland, MD 21502-4331 | 2006-04-28 |
| 1457317455 | Upmc Western Maryland Corporation | Hospice Care, Community Based | 1050 W Industrial Blvd, Cumberland, MD 21502-4331 | 2006-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174141592 | Upmc Western Maryland Corporation | Clinic/Center | 10700 Leslie Lane, Cumberland, MD 21502 | 2020-07-13 |
| 1669934212 | Ultimate Hearing Solutions Vi, LLC | Durable Medical Equipment & Medical Supplies | 701 Park Street, Queen City Centre, Cumberland, MD 21502 | 2019-04-03 |
| 1114497070 | Dianne Liller | Speech-Language Pathologist | 200 Massachusetts Ave, Cumberland, MD 21502 | 2018-12-04 |
| 1386111409 | Rebecca Anne Stewart | Counselor | 217 Glenn Street, Suite 401, Cumberland, MD 21502 | 2018-10-26 |
| 1396222998 | Crystal Lynne Walls | Nurse Practitioner | Western Maryland Health System, 12500 Willowbrook Rd, Cumberland, MD 21502 | 2018-07-26 |
| 1841796554 | Joan Kathleen Hoban | Speech-Language Pathologist | Potomac Behavioral and Occupational Therapy, 240 Henderson Ave., Cumberland, MD 21502 | 2018-04-02 |
| 1760984447 | Christine T. Haines | Social Worker | 907 Seton Drive, Cumberland, MD 21502 | 2018-03-08 |
| 1033632328 | Nicole Mabury | Counselor | 12501 Willowbrook Road, Cumberland, MD 21502 | 2017-07-19 |
| 1073042479 | The Lions Center for Rehabilitation and Extended Care, Inc. | Skilled Nursing Facility | 901 Seton Drive, Cumberland, MD 21502 | 2017-06-08 |
| 1912446816 | Marina Hurst | Counselor | 10102 County Club Road Se, Cumberland, MD 21502 | 2017-02-13 |
| Find all providers in zip 21502 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174853626 | Carlos S. Santiago IIi, Mdpc | Clinic/Center | 924 Seton Dr Ste 1, Cumberland, MD 21502-1851 | 2010-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669014098 | Maryland Pain and Spine Center, LLC | Clinic/Center | 844 Washington Rd Ste 207, Westminster, MD 21157-6664 | 2019-10-17 |
| 1285196295 | Xpress Medical Specialties, LLC | Clinic/Center | 12200 Annapolis Rd Ste 225, Glenn Dale, MD 20769-9182 | 2019-04-01 |
| 1710453808 | Young Ji Acupuncture Clinic | Clinic/Center | 3459 Saint Johns Ln Ste 9, Ellicott City, MD 21042-4026 | 2018-10-16 |
| 1447755178 | Legacy Spine and Pain, LLC | Clinic/Center | 10421 Motor City Dr # 342430, Bethesda, MD 20817-9996 | 2018-03-26 |
| 1164775979 | Potomac Healthcare Alliance | Clinic/Center | 198 Thomas Johnson Dr Ste 5, Frederick, MD 21702-4449 | 2012-10-17 |
| 1194018085 | Healthy Life Medical Group, Inc | Clinic/Center | 9607 Reisterstown Rd, Owings Mills, MD 21117-4129 | 2011-05-25 |
| 1881917383 | Workwell Physicals Inc | Clinic/Center | 7711 Garrison Rd, Hyattsville, MD 20784-1756 | 2010-03-11 |
| 1548582877 | Alt. Medicine Inc. | Clinic/Center | 3201 Corporate Ct Fl 1, Ellicott City, MD 21042-2247 | 2010-03-01 |
| 1295983997 | Qol Pain Management LLC. | Clinic/Center | 3102 N Hilton St, Baltimore, MD 21216-1450 | 2008-09-05 |
| 1174711949 | Surgery Centers of Delmarva, LLC | Clinic/Center | 101 Chesapeake Blvd, Suite C, Elkton, MD 21921-6313 | 2007-10-05 |
| Find all providers with the same taxonomy | ||||
| City | CUMBERLAND |
| Zip Code | 21502 |
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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.