MATSUNAGA PAIN MANAGEMENT LLC (NPI# 1033665450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033665450 |
| Entity Type | Organization |
| Organization Name | MATSUNAGA PAIN MANAGEMENT LLC |
| Other Organization Name | INNOVATIVE HEALTH LABS |
| Practice Address |
9755 Patuxent Woods Dr Suite 100 Columbia MD 21046-2286 |
| Mailing Address |
8894 Stanford Blvd Suite 104 Columbia MD 21045-4794 |
| Practice Telephone | 4102183458 |
| Mailing Telephone | 4109977246 |
| Mailing Fax Number | 4109977226 |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2016-08-26 |
| Authorized Official Name | TIM KARTISEK (BILLING SUPERVISOR) |
| Authorized Official Telephone | 4433717749 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 21D2117103 | MD | Laboratories |
| Other Name | Type Code |
|---|---|
| Innovative Health Labs | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306213186 | Matsunaga Pain Management LLC | Anesthesiology | 8894 Stanford Blvd., Suite 104, Columbia, MD 21045-5161 | 2015-08-27 |
| Street Address |
9755 PATUXENT WOODS DR SUITE 100 |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21046-2286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124628821 | Shadiat Ogunsakin | Behavior Technician | 7060 Samuel Morse Dr., Ste 100, Columbia, MD 21046 | 2020-10-30 |
| 1659983211 | Courtney Danielle Henderson | Behavior Technician | 10015 Old Columbia Road, Suite B215, Columbia, MD 21046 | 2020-08-17 |
| 1477116218 | Corporate Sourcing Solutions, Inc. | Nurse's Aide | 6700 Alexander Bell Dr., Suite 200, Columbia, MD 21046 | 2019-04-17 |
| 1497230973 | Quality Dme, Inc. | Durable Medical Equipment & Medical Supplies | 9175 Guilford Road, Suite 308, Columbia, MD 21046 | 2018-10-01 |
| 1649792698 | Sharon Londeree | Nurse Practitioner | 9710 Patuxent Woods Dr Ste 200, Columbia, MD 21046 | 2017-07-12 |
| 1043740624 | Katherine Green | Counselor | 6950 Columbia Gateway Drive, Columbia, MD 21046 | 2017-06-15 |
| 1710417548 | Karen Trageser | Registered Nurse | 7055 Samuel Morse Drive Suite 200, Columbia, MD 21046 | 2017-06-14 |
| 1396282745 | Emma Mayne | Technician, Other | 7175 Columbia Gateway Dr A, Columbia, MD 21046 | 2017-01-24 |
| 1861944795 | Ameris | Home Health | 6711 Columbia Gateway Drive, Suite 475, Columbia, MD 21046 | 2016-10-26 |
| 1073063426 | Chandni Bhatia | Counselor | 10005 Old Columbia Road (suite L260), Columbia, MD 21046 | 2016-10-10 |
| Find all providers in zip 21046 | ||||
| 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. |
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| 1700344116 | Labone LLC | Clinical Medical Laboratory | 2003 W Broadway Ste 103, Columbia, MO 65203-1136 | 2019-03-05 |
| 1902360019 | Labone LLC | Clinical Medical Laboratory | 200 Portland St Fl 1, Columbia, MO 65201-6525 | 2019-01-23 |
| 1548789522 | Tracy R Trapp | Clinical Medical Laboratory | 9005 Two Notch Rd Ste 22, Columbia, SC 29223-5850 | 2017-09-12 |
| 1962889493 | Advantage Medical Group Labtory, LLC | Clinical Medical Laboratory | 9153 Two Notch Rd, Columbia, SC 29223-5852 | 2015-05-05 |
| 1669817474 | American Health Associates Inc | Clinical Medical Laboratory | 10270 Old Columbia Rd Ste 600, Columbia, MD 21046-1867 | 2013-05-07 |
| 1700128790 | Amicus Health, LLC | Clinical Medical Laboratory | 1700 Alta Vista Dr, Suite 100, Columbia, SC 29223-4537 | 2013-03-18 |
| 1124319637 | A Cell | Clinical Medical Laboratory | 8671 Robert Fulton Dr, Columbia, MD 21046-2582 | 2011-05-02 |
| Find all providers in COLUMBIA | ||||
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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.