PHYSICAL MEDICINE ASSOCIATES, LTD (NPI# 1942839162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942839162 |
| Entity Type | Organization |
| Organization Name | PHYSICAL MEDICINE ASSOCIATES, LTD |
| Practice Address |
3460 Old Washington Rd Ste 300 Waldorf MD 20602-3245 |
| Mailing Address |
11350 Mccormick Rd Executive Plaza 1, Ste. 501 Hunt Valley MD 21031 |
| Practice Telephone | 7039148000 |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2020-04-08 |
| Authorized Official Name | MAYO F FRIEDLIS (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7039148000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730749102 | Physical Medicine Associates, Ltd | Pain Medicine | 24560 Southpoint Drive, Ste. 120, Aldie, VA 20105 | 2019-06-18 |
| 1427446525 | Physical Medicine Associates, Ltd | Physical Medicine & Rehabilitation | 920 N Shenandoah Ave, Suite 101, Front Royal, VA 22630-3568 | 2014-12-26 |
| 1427549245 | Physical Medicine Associates, Ltd | Physical Medicine & Rehabilitation | 1630 Wilkes Ridge Pkwy Ste 203, Henrico, VA 23233-7460 | 2018-05-29 |
| 1316465461 | Physical Medicine Associates, Ltd | Pain Medicine | 8501 Arlington Blvd Ste 410, Fairfax, VA 22031-4625 | 2017-09-08 |
| 1447615257 | Physical Medicine Associates, Ltd | Pain Medicine | 5550 Friendship Blvd, Suite 450, Chevy Chase, MD 20815-7294 | 2015-12-21 |
| 1386015972 | Physical Medicine Associates, Ltd | Pain Medicine | 1460 Pantops Mountain Pl, Suite 2b, Charlottesville, VA 22911-4600 | 2015-10-08 |
| 1972971133 | Physical Medicine Associates, Ltd | Pain Medicine | 7858 Shrader Rd, Suite 1, Richmond, VA 23294-4222 | 2015-09-04 |
| 1760872410 | Physical Medicine Associates, Ltd | Physical Medicine & Rehabilitation | 1750 Tysons Blvd Ste 120, Mc Lean, VA 22102-4227 | 2015-02-03 |
| 1790173896 | Physical Medicine Associates, Ltd | Physical Medicine & Rehabilitation | 190 Campus Blvd, Suite 420, Winchester, VA 22601-2872 | 2014-12-26 |
| 1205224300 | Physical Medicine Associates, Ltd | Physical Medicine & Rehabilitation | 1741 Williamsport Pike, Martinsburg, WV 25404-4341 | 2014-12-26 |
| Street Address |
3460 OLD WASHINGTON RD STE 300 |
| City | WALDORF |
| State | MD |
| Zip Code | 20602-3245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629553383 | Deasia Henderson | Physician Assistant | 3460 Old Washington Rd Ste 300, Waldorf, MD 20602-3245 | 2018-09-28 |
| 1760952410 | Angela S Barnes | Nurse Practitioner | 3460 Old Washington Rd Ste 300, Waldorf, MD 20602-3245 | 2018-11-26 |
| 1609343201 | Center for Pain Management LLC | Non-Pharmacy Dispensing Site | 3460 Old Washington Rd Ste 300, Waldorf, MD 20602-3245 | 2018-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053964957 | Haeyoung Choi | Pharmacist | 25 Smallwood Village Center, Waldorf, MD 20602 | 2019-07-19 |
| 1679137194 | Brighter Days Family Services Inc | Counselor | 11680 Doolittle Dr #111, Waldorf, MD 20602 | 2019-04-30 |
| 1396227039 | Lantern Family Services Inc | Community/Behavioral Health | 11680 Doolittle Dr Ste 111, Waldorf, MD 20602 | 2018-08-29 |
| 1093294910 | Metropolitan Vascular Institute LLC | Internal Medicine | 12070 Old Line Ctr Ste 100, Waldorf, MD 20602 | 2018-08-10 |
| 1174009922 | Dr. Arthur B. Sorkin, D.d.s., LLC | Dentist | 3460 Old Washington Rd., Suite 301-b, Waldorf, MD 20602 | 2018-07-16 |
| 1467945030 | Donna Marie Conley-shaw | Behavior Technician | 16 Pagnell Cir, Waldorf, MD 20602 | 2018-06-08 |
| 1811404296 | Loni Berbaum | Speech-Language Pathologist | 4817 Elmley Pl Apt 315, Waldorf, MD 20602 | 2018-01-06 |
| 1891224853 | Linda E Smith | Social Worker | 605 Pst Office Road, #301, Waldorf, MD 20602 | 2017-06-05 |
| 1104373273 | Love Ngum Che | Pharmacist | 25 Smallwood Village, Waldorf, MD 20602 | 2016-09-07 |
| 1639543341 | Matengy Toure | Pharmacist | 129 St Charles Pkwy, Waldorf, MD 20602 | 2015-11-18 |
| Find all providers in zip 20602 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104467463 | Maryland Pain & Regenerative Center, LLC | Pain Medicine | 12070 Old Line Ctr, Waldorf, MD 20602-2513 | 2019-10-07 |
| 1437458809 | Center for Pain Management,llc | Pain Medicine | 3460 Old Washington Rd, Suite 300, Waldorf, MD 20602-3240 | 2011-03-24 |
| 1063626836 | Richard James Brouillette | Pain Medicine | 3460 Old Washington Rd, Suite 300, Waldorf, MD 20602-3240 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679112650 | Center for Pain Management, LLC | Pain Medicine | 3407 Wilkens Ave Ste 240, Baltimore, MD 21229-5222 | 2019-12-23 |
| 1578078804 | Center for Pain Management, LLC | Pain Medicine | 5801 Allentown Road, 503, Suitland, MD 20746 | 2017-12-08 |
| 1508384116 | Zainab Bundu | Pain Medicine | 135 Bowie Rd, Laurel, MD 20707-4631 | 2017-09-04 |
| 1164781472 | Center for Pain Management,llc | Pain Medicine | 8824 Cunningham Dr Ste B, Berwyn Heights, MD 20740-2338 | 2012-05-07 |
| 1245596139 | Harrison Linder | Pain Medicine | 345 Saint Paul St Fl 4, Baltimore, MD 21202-2123 | 2012-04-05 |
| 1568601656 | Washington Metro Pain Institute | Pain Medicine | 7300 Hanover Drive # 204, Greenbelt, MD 20770 | 2009-02-12 |
| 1285896696 | Kenneth J. Murray, P.a. | Pain Medicine | 1310 Ruxton Rd, Towson, MD 21204-6601 | 2008-06-26 |
| 1619170685 | Janak A Vidyarthi | Pain Medicine | 1130 Annapolis Rd, Suite 100, Odenton, MD 21113-1648 | 2007-06-07 |
| 1336230416 | Carey-walter Franklin Closson | Pain Medicine | 16900 Science Dr, Ste100, Bowie, MD 20715-4401 | 2006-09-27 |
| 1396755286 | Christopher James Galuardi | Pain Medicine | 10308 Old Ocean City Blvd, Berlin, MD 21811-1132 | 2006-08-09 |
| Find all providers with the same taxonomy | ||||
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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.