MID ATLANTIC PAIN MANAGEMENT, LLC (NPI# 1861818270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861818270 |
| Entity Type | Organization |
| Organization Name | MID ATLANTIC PAIN MANAGEMENT, LLC |
| Practice Address |
6355 Walker Ln Suite 200 Alexandria VA 22310-3245 |
| Mailing Address |
Po Box 610624 Dallas TX 75261-0624 |
| Practice Telephone | 3018297683 |
| Practice Fax Number | 3018297694 |
| Mailing Telephone | 8003944445 |
| Mailing Fax Number | 7066501034 |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2019-03-07 |
| Authorized Official Name | BRIAN P WOODS (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 2146870015 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| USDOL OWCP - DEEOIC | 618183700 | 01 | |
| USDOL OWCP - FEDERAL BLACK LUNG | 618183700 | 01 | |
| CAREFIRST BC/BS | BE66 | 01 | |
| RAILROAD MEDICARE | DV0457 | 01 | |
| AETNA HMO | 0352193 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003283938 | Mid Atlantic Pain Management, LLC | Anesthesiology | 3930 Pender Dr, Suite 120, Fairfax, VA 22030-0985 | 2015-08-26 |
| 1477949568 | Mid Atlantic Pain Management, LLC | Anesthesiology | 6355 Walker Ln, Suite 510, Alexandria, VA 22310-3245 | 2015-04-15 |
| Street Address |
6355 WALKER LN SUITE 200 |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22310-3245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568465912 | Michael R Abidin | Otolaryngology | 6355 Walker Ln, Ste 308, Alexandria, VA 22310-3247 | 2005-05-31 |
| 1083253058 | Jacqueline O'neil | Student in an Organized Health Care Education/Training Program | 6355 Walker Ln, Alexandria, VA 22310-3245 | 2019-12-23 |
| 1275046708 | Kringle Pllc Kathleen Ann Mchale | Orthopaedic Surgery | 6355 Walker Ln, Alexandria, VA 22310-3245 | 2017-11-06 |
| 1598211443 | Leigh Crooks | Nurse Practitioner | 6355 Walker Ln, Suite 505, Alexandria, VA 22310-3245 | 2016-08-31 |
| 1851744999 | Tyler Jennings Alvare | Physician Assistant | 6355 Walker Ln, Ste 401, Alexandria, VA 22310-3245 | 2016-07-13 |
| 1083072318 | Brandon Robert Beattie | Physician Assistant | 6355 Walker Ln, Suite 313, Alexandria, VA 22310-3245 | 2016-02-01 |
| 1013387497 | Chelsea Kemlage | Physical Therapist | 6355 Walker Ln, Suite 204, Alexandria, VA 22310-3245 | 2015-09-29 |
| 1689044208 | Sarah Mcclure | Nurse Practitioner | 6355 Walker Ln, #401, Alexandria, VA 22310-3245 | 2015-09-25 |
| 1649649864 | Ann Hinds | Audiologist-Hearing Aid Fitter | 6355 Walker Ln, Suite 411, Alexandria, VA 22310-3245 | 2015-09-17 |
| 1164890182 | Sara Sanders | Physician Assistant | 6355 Walker Ln, Suite 507, Alexandria, VA 22310 | 2015-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295389732 | Katarzyna Piwek | Behavior Technician | 6281 Franconia Road, Suite B, Alexandria, VA 22310 | 2019-08-01 |
| 1073011672 | Roberto Arturo Hernandez Zapata | Dentist | Avenida Paseo De Los Heroes 9333-4, Tijuana, BAJA CALIFORNIA 22310 | 2018-01-29 |
| 1336542042 | Franconia Pediatrics Associates | Clinic/Center | 6078 Franconia Road Ste A/b, Alexandria, VA 22310 | 2014-10-08 |
| 1548663347 | Eric Mestas Dds PC | Clinic/Center | 5115 Franconia Rd Ste -d, Alexandria, VA 22310 | 2014-10-07 |
| 1982036331 | Meike Nadine Marshall | Physical Therapist | 6355 Walker Ln Ste 404, Alexandria, VA 22310 | 2013-08-07 |
| 1649448093 | Manchester Lakes Medical | Internal Medicine | 7015 E Manchester Blvd, Alexandria, VA 22310 | 2008-02-19 |
| 1629250311 | Kingstowne Dental Care PC | Dentist | 7015 A Macnhester Blvd, Alexandria, VA 22310 | 2007-12-04 |
| 1881890648 | Neal Kevin Maru | Psychiatry & Neurology | 6355 Walker Lane, 313, Alexandria, VA 22310 | 2007-06-26 |
| 1518188259 | Hospital Mexico | General Acute Care Hospital | Avenida De La Amistad 9077, Colonia Federal, Tijuana, BAJA CALIFORNIA 22310 | 2007-05-01 |
| 1114078185 | Melissa Jean Arnold | Counselor | 6015 Bushhill Dr, Alexandria, VA 22310 | 2007-01-16 |
| Find all providers in zip 22310 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043403504 | Nova Pain Clinic Inc | Anesthesiology | 6151 Fuller Ct, Alexandria, VA 22310-2541 | 2007-08-19 |
| 1346232014 | Mark Rodney King | Anesthesiology | 2867 Duke St, Alexandria, VA 22314-4512 | 2005-08-18 |
| 1265731244 | Anesthesia Pain Management Doctors, LLC | Anesthesiology | 233 Pecan Park Ave, Suite B, Alexandria, LA 71303-3362 | 2011-03-16 |
| 1295066652 | Alexandria Interventional Pain Management | Anesthesiology | 2867 Duke St, Alexandria, VA 22314-4512 | 2010-01-26 |
| 1932290376 | Brent R Lee | Anesthesiology | 4320 Seminary Rd, Alexandria, VA 22304-1535 | 2006-09-28 |
| 1821189457 | Srinivas Sharma | Anesthesiology | 2501 Parkers Ln, Alexandria, VA 22306-3209 | 2006-09-27 |
| 1104917194 | Julie A Miller | Anesthesiology | 2501 Parkers Ln, Alexandria, VA 22306-3209 | 2006-09-27 |
| 1629178868 | Deborah S Brown | Anesthesiology | 2501 Parkers Ln, Alexandria, VA 22306-3209 | 2006-09-25 |
| 1487754990 | John Hall Chiles | Anesthesiology | 2501 Parkers Ln, Alexandria, VA 22306-3209 | 2006-09-24 |
| 1821196858 | Patrick S Gaspar | Anesthesiology | 2501 Parkers Ln, Alexandria, VA 22306-3209 | 2006-09-21 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 22310 |
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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.