WHITE MARSH HEALTHCARE & PHYSICAL MEDICINE,LLC (NPI# 1942674163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942674163 |
| Entity Type | Organization |
| Organization Name | WHITE MARSH HEALTHCARE & PHYSICAL MEDICINE,LLC |
| Other Organization Name | BALTIMORE PAIN RELIEF CENTER |
| Practice Address |
5430 Campbell Blvd Ste 106 White Marsh MD 21162-5500 |
| Practice Telephone | 4437254930 |
| Practice Fax Number | 4433998853 |
| Mailing Telephone | 4437254930 |
| Mailing Fax Number | 4433998853 |
| Enumeration Date | 2015-11-27 |
| Last Update Date | 2016-05-09 |
| Authorized Official Name | DR. 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 |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| Baltimore Pain Relief Center | 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 |
| 1578928289 | White Marsh Healthcare & Physical Medicine,llc | Chiropractor | 312 Martin Luther King Jr Blvd, Baltimore, MD 21201-1221 | 2015-12-22 |
| 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 |
5430 CAMPBELL BLVD STE 106 |
| City | WHITE MARSH |
| State | MD |
| Zip Code | 21162-5500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568423606 | Sudhir Sekhsaria | Allergy & Immunology | 5430 Campbell Blvd, Suite 103, White Marsh, MD 21162-5500 | 2006-03-29 |
| 1548758493 | Annette M. Schlossnagle | Social Worker | 5430 Campbell Blvd, White Marsh, MD 21162-5500 | 2018-04-26 |
| 1427508878 | Choice Pain and Rehabilitation Center | Physical Medicine & Rehabilitation | 5430 Campbell Blvd, Suite 110b, White Marsh, MD 21162-5500 | 2016-10-10 |
| 1376990200 | White Marsh Healthcare Physical Medicine,llc | Clinical Medical Laboratory | 5430 Campbell Blvd, Suite 106, White Marsh, MD 21162-5500 | 2016-05-20 |
| 1972971968 | Michelle Okafor | Audiologist | 5430 Campbell Blvd, Suite 212, White Marsh, MD 21162-5500 | 2015-09-08 |
| 1417364340 | Mohamad Alabrash, M.d. | Internal Medicine | 5430 Campbell Blvd, White Marsh, MD 21162-5500 | 2014-07-11 |
| 1083987317 | Amber Giesel Viel | Nurse Practitioner | 5430 Campbell Blvd, Suite 103, White Marsh, MD 21162-5500 | 2012-02-16 |
| 1508135328 | Julien Mignon | Chiropractor | 5430 Campbell Blvd, Suite 106, White Marsh, MD 21162-5500 | 2011-12-22 |
| 1356619803 | Maryland Interventional Pain Management LLC | Internal Medicine | 5430 Campbell Blvd, Suite 106, White Marsh, MD 21162-5500 | 2011-12-12 |
| 1568749125 | Maryland Interventional Pain Management, LLC | Chiropractor | 5430 Campbell Blvd, Suite 106, White Marsh, MD 21162-5500 | 2011-11-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285250191 | Michael Nwandu Dnp, Pmhnp-bc, LLC | Clinic/Center | 5702 Country Farm Road, White Marsh, MD 21162 | 2020-06-17 |
| 1104168590 | Justin Ryan Brooks | General Practice | 11500 Lipscomb Way, White Marsh, MD 21162 | 2013-03-23 |
| 1841410974 | Glenn Paul Miller | Dentist | 11550 Philadelphia Road Suite #118, Whitemarsh, MD 21162 | 2007-04-30 |
| 1063722700 | White Marsh Healthcare Physical Medicine LLC | Chiropractor | 5430 Campbell Blvd., Ste. 106, White Marsh, MD 21162 | 2010-10-15 |
| 1275164139 | Maria Lourdes Evangelista | Nurse Practitioner | 5728 Fieldcrest Dr, White Marsh, MD 21162-1143 | 2020-01-30 |
| 1730669771 | Marilyn C Hernandez | Nurse Practitioner | 5700 Fieldcrest Dr, White Marsh, MD 21162-1143 | 2018-08-20 |
| 1639635584 | Rebecca Dawn Rock | Social Worker | 5717 Fieldcrest Dr, White Marsh, MD 21162-1144 | 2019-02-15 |
| 1508245564 | Watermark Health Services LLC | Home Health | 11511 Ridgedale Dr, White Marsh, MD 21162-1146 | 2015-05-23 |
| 1275845521 | Martha Angela Montemar | Physical Therapist | 5606 Crescent Ridge Dr, White Marsh, MD 21162-1149 | 2010-07-01 |
| 1952925836 | Allstar Care Agency, LLC | Home Health | 11586 Autumn Terrace Dr, White Marsh, MD 21162-1151 | 2020-06-05 |
| Find all providers in zip 21162 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376990200 | White Marsh Healthcare Physical Medicine,llc | Clinical Medical Laboratory | 5430 Campbell Blvd, Suite 106, White Marsh, MD 21162-5500 | 2016-05-20 |
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| 1669095600 | Aeon Technologies, LLC | Clinical Medical Laboratory | 1 Technology Dr Ste 1600, Frostburg, MD 21532-2499 | 2020-05-26 |
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| 1437785896 | Meta Science LLC | Clinical Medical Laboratory | 10019 Reisterstown Rd Ste 213, Owings Mills, MD 21117-3902 | 2020-03-18 |
| 1154956159 | Almat Bio Solutions LLC | Clinical Medical Laboratory | 10019 Reisterstown Rd Ste 212, Owings Mills, MD 21117-3902 | 2020-03-10 |
| 1689206112 | Applied Immunogenetics Laboratory | Clinical Medical Laboratory | 11419 Cronridge Dr Ste 17, Owings Mills, MD 21117-6283 | 2020-02-12 |
| 1033749296 | Mprobe Inc | Clinical Medical Laboratory | 9600 Medical Center Dr Ste 300, Rockville, MD 20850-6329 | 2020-01-16 |
| Find all providers with the same taxonomy | ||||
| City | WHITE MARSH |
| Zip Code | 21162 |
Please comment or provide details below to improve the information on WHITE MARSH HEALTHCARE & PHYSICAL MEDICINE,LLC.
| 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.