CHESAPEAKE PAIN CENTER, LLC (NPI# 1811142771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811142771 |
Entity Type | Organization |
Organization Name | CHESAPEAKE PAIN CENTER, LLC |
Practice Address |
2012 South Tollgate Road Suite 102 Bel Air MD 21015-5901 |
Mailing Address |
Po Box 404 Bel Air MD 21014-0404 |
Practice Telephone | 4434842828 |
Practice Fax Number | 4434842831 |
Mailing Telephone | 4434842828 |
Mailing Fax Number | 4434842831 |
Enumeration Date | 2008-11-19 |
Last Update Date | 2010-08-27 |
Authorized Official Name | DR. BENJAMIN LEE (OWNER) |
Authorized Official Telephone | 4434842828 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
W11478880 | MD | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | 003003100 | 05 | |
MD | JOHNS HOPKINS HEALTH CARE | 109766 | 01 |
MD | TRICARE | 541744325 | 01 |
MD | AMERIGROUP | 10229730 | 01 |
DC | CAREFIRST BCBS | K8170001 | 01 |
MD | CAREFIRST BCBS | 220CCH | 01 |
MD | AETNA | 5571764 | 01 |
MD | COVENTRY | 541744325 | 01 |
Street Address |
2012 SOUTH TOLLGATE ROAD SUITE 102 |
City | BEL AIR |
State | MD |
Zip Code | 21015-5901 |
NPI | Name | Taxonomy | Address | Enumeration |
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1114525235 | Graceful Speech-language Therapy | Speech-Language Pathologist | 610 Mauser Dr, Bel Air, MD 21015 | 2020-10-12 |
1770124844 | Asana Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 815 Sapling Ct, Bel Air, MD 21015 | 2019-09-30 |
1427601103 | Newpoints | Substance Abuse Rehabilitation Facility | 242 Ogden Court, Bel Air, MD 21015 | 2019-07-22 |
1184186199 | Notable Life Counseling Services LLC | Counselor | 2107-2109 Laurel Bush Road, Ste 103b, Bel Air, MD 21015 | 2019-04-01 |
1295293553 | Gary Reznik D.d.s., P.a. | Dentist | 1816 Emmorton Rd, Bel Air, MD 21015 | 2019-03-06 |
1942770524 | Erin Tromblay | Speech-Language Pathologist | 85 Patterson Mill Road, Bel Air, MD 21015 | 2018-11-27 |
1740638857 | Holly A Smith | Nurse Practitioner | 5 Bel Air Parkway, Suite 1535, Bel Air, MD 21015 | 2016-05-31 |
1891155420 | National Rehabilitation Hospital, Inc | Clinic/Center | 12 Medstar Boulevard, Suite 325, Bel Air, MD 21015 | 2016-02-24 |
1780002956 | Louis Rosson Robinett IIi | Internal Medicine | 2227 Old Emmorton Rd Ste 120, Bel Air, MD 21015 | 2014-04-03 |
1609207083 | Vicki Lynn Goldberg | Physical Therapist | 2304 Churchville Road, Bel Air, MD 21015 | 2013-12-10 |
Find all providers in zip 21015 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275184293 | Johns Hopkins Surgery Centers Series | Clinic/Center | 620 Boulton St Ste 201, Bel Air, MD 21014-4255 | 2019-09-20 |
1770858391 | Best Solution Anesthesia Services, L.L.C. | Clinic/Center | 713 Athlone Dr, Bel Air, MD 21014-6940 | 2012-03-14 |
1912158684 | Surgcenter of Bel Air | Clinic/Center | 209 Thomas St, Bel Air, MD 21014-3649 | 2008-09-30 |
1346308962 | Podiatry Associates Ambulatory Surgical Centers LLC | Clinic/Center | 1 N Main St Ste 1, Bel Air, MD 21014-3592 | 2006-12-05 |
1730152869 | Bel Air Endoscopy Asc LLC | Clinic/Center | 2214 Old Emmorton Rd Ste 100, Bel Air, MD 21015-6106 | 2006-02-09 |
1801436613 | Podiatry Associates Ambulatory Surgical Centers LLC | Clinic/Center | 1 N Main St, Bel Air, MD 21014-3592 | 2020-01-09 |
1548653595 | Bel Air Surgical and Vein Center, LLC | Clinic/Center | 2227 Old Emmorton Rd, Suite 122, Bel Air, MD 21015-6187 | 2015-03-16 |
1003209495 | Stephanie M. Dunbar LLC | Clinic/Center | 1210 Forest Oak Ct, Bel Air, MD 21015-6170 | 2015-03-10 |
1447523600 | Ophthalmology Associates, LLC | Clinic/Center | 620 Boulton St, Suite 201, Bel Air, MD 21014-4255 | 2012-02-20 |
1538390539 | Summit Ambulatory Surgical Center, LLC | Clinic/Center | 201 Plumtree Rd, Suite 200, Bel Air, MD 21015-6044 | 2009-08-07 |
Find all providers in BEL AIR |
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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.