1st Medical Pain Management Specialists
Clinic/Center in Edgewater, MD. Organization (NPI-2).
NPI number1902348659
StatusActive
Last updated in NPPESJan 23, 2022
Details
- NPI
- 1902348659
- Entity type
- Organization (NPI-2)
- Legal business name
- 1st Medical Pain Management Specialists
- Organization subpart
- Yes
- Enumeration date
- Nov 11, 2016
- Certification date
- Jan 23, 2022
- Last updated
- Jan 23, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
| 261QP3300X | Clinic/Center, Pain | – | – | |
| 261QR0400X | Clinic/Center, Rehabilitation | – | – | |
| 261QR0401X | Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | – | – | |
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – | |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | |
| 1041C0700X | Social Worker, Clinical | – | – | |
| 171W00000X | Contractor | D40904 | MD | |
| 174400000X | Specialist | – | – | |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – |
Other names
- 1st Medical Painrehab Center (Doing Business As)
Practice location
20 Mayo Rd Ste 201Edgewater, MD 21037-1442
Phone 410-956-6800 · Fax 410-956-6803
Mailing address
20 Mayo RdSuite 201
Edgewater, MD 21037-1439
Phone 410-956-6800 · Fax 410-956-6803
Other practice locations
7600 Osler Dr Ste 105
Towson, MD 21204-7705
Towson, MD 21204-7705
Phone 410-825-4500 · Fax 410-956-6803
5620 Saint Barnabas Rd Ste 340
Oxon Hill, MD 20745-3628
Oxon Hill, MD 20745-3628
Phone 301-747-4224 · Fax 410-956-6803
831 University Blvd E Ste 34
Silver Spring, MD 20903-2915
Silver Spring, MD 20903-2915
Phone 301-408-2720 · Fax 301-408-2725
405 Frederick Rd Ste 11
Catonsville, MD 21228-4607
Catonsville, MD 21228-4607
Phone 410-788-4411 · Fax 410-788-4545
Authorized official
Rosemary Ingado
Clinical Administrator
4109566800
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