MARYLAND INTERVENTIONAL PAIN MANAGEMENT, LLC (NPI# 1053670430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053670430 |
| Entity Type | Organization |
| Organization Name | MARYLAND INTERVENTIONAL PAIN MANAGEMENT, LLC |
| Other Organization Name | BALTIMORE PAIN RELIEF CENTER |
| Practice Address |
1147 S Hanover St Baltimore MD 21230-3717 |
| Mailing Address |
5430 Campbell Blvd Suite 106 White Marsh MD 21162-5500 |
| Practice Telephone | 4437254930 |
| Practice Fax Number | 4437254933 |
| Mailing Telephone | 4437254930 |
| Mailing Fax Number | 4437254933 |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2012-05-07 |
| Authorized Official Name | MR. TIMOTHY J GOBER (PRESIDENT) |
| Authorized Official Telephone | 4437254930 |
| Authorized Official Credential | DC |
| Is Organization Subpart | Y |
| Parent Organization Name | MARYLAND INTERVENTIONAL PAIN MANAGEMENT, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 3470 | MD | Chiropractic Providers |
| N | 363A00000X | Physician Assistant | 3825 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 3868 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 208D00000X | General Practice | 60828 | MD | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| BALTIMORE PAIN RELIEF CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568749125 | Maryland Interventional Pain Management, LLC | Chiropractor | 5430 Campbell Blvd, Suite 106, White Marsh, MD 21162-5500 | 2011-11-10 |
| Street Address |
1147 S HANOVER ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21230-3717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114930211 | Marc Stephen Posner | Family Medicine | 1147 S Hanover St, Baltimore, MD 21230-3717 | 2006-08-14 |
| 1194124131 | Downtown Baltimore Urgent Care | Clinic/Center | 1147 S Hanover St, Baltimore, MD 21230-3717 | 2014-08-15 |
| 1861723926 | Khm Healthcare Corporation | Clinic/Center | 1147 S Hanover St, Baltimore, MD 21230-3717 | 2010-01-28 |
| 1578629838 | Leslie Ann Ebert | Social Worker | 1147 S Hanover St, Baltimore, MD 21230 | 2006-12-29 |
| 1013070457 | United Radiology Services, LLC | Radiology | 1147 S Hanover St, Baltimore, MD 21230-3717 | 2006-12-18 |
| 1821001942 | Marc S Posner Md Pa | Clinic/Center | 1147 S Hanover St, Baltimore, MD 21230-3717 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739558 | Margaret Webb | Registered Nurse | Medstar Health, 1420 Key Highway, Baltimore, MD 21230 | 2020-10-27 |
| 1497381263 | Hawkes Counseling Services | Counselor | 837 Washington Blvd, Suite B, Baltimore, MD 21230 | 2020-03-12 |
| 1821570011 | Lisa Le | Social Worker | 1623 Covington St, Baltimore, MD 21230 | 2018-09-04 |
| 1396237673 | Kinderhealth, LLC | Nurse Practitioner | 10 W West St, Baltimore, MD 21230 | 2018-06-03 |
| 1144745068 | Charles Billingsley | Counselor | 909 W Barre St, Baltimore, MD 21230 | 2017-08-11 |
| 1447791058 | Elizabeth Richmond | Nurse Practitioner | 2 East Wells Apt 179, Baltimore, MD 21230 | 2017-03-15 |
| 1952775389 | Courtney Schwalbe | Speech-Language Pathologist | 600 S Paca Street, Baltimore, MD 21230 | 2015-11-23 |
| 1093071920 | Glass Health Programs, Inc | Clinic/Center | 1801 Cherry Hill Rd, Baltimore, MD 21230 | 2012-04-04 |
| 1487937512 | Harris Teeter, LLC | Pharmacy | 1801 Whetstone Way, Baltimore, MD 21230 | 2011-09-26 |
| 1487980280 | Ife A Thompson | Physician Assistant | 601 S. Charles Street, Baltimore, MD 21230 | 2009-10-29 |
| Find all providers in zip 21230 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891303038 | Lorenzo Leggio | General Practice | Nih/nida, Bayview Campus, Brc, 251 Bayview Boulevard, Room 01a844, Baltimore, MD 21224 | 2020-07-14 |
| 1083247894 | Medstar Medical Group II LLC | General Practice | 9101 Franklin Square Drive, Ste 200, Medical Arts Building, Baltimore, MD 21237-4072 | 2020-02-20 |
| 1326574799 | Marife Ann Ortega Teague | General Practice | 226 E 39th St, Baltimore, MD 21218 | 2017-05-04 |
| 1295199826 | Michael Rozak | General Practice | 3001 S Hanover St Dept Of, Baltimore, MD 21225-1233 | 2016-04-10 |
| 1114380433 | Ryan Sutherland | General Practice | Diagnostic Radiology and Nuclear Medicine, 22 S Greene St, Baltimore, MD 21201 | 2016-04-04 |
| 1386028900 | Christopher Kircher | General Practice | 1016 S Robinson St, Baltimore, MD 21224-4937 | 2015-07-14 |
| 1437549466 | Health Alliance Associates | General Practice | 13 Hamilton Street, Baltimore, MD 21202-2120 | 2015-01-29 |
| 1952707903 | Bannister Lee Raines Jr. | General Practice | 1325 Bedford Ave Unit 21499, Baltimore, MD 21282-7525 | 2014-11-18 |
| 1437589868 | Peoples Community Health Center, Inc. | General Practice | 1734 Maryland Avenue, Baltimore, MD 21201 | 2013-11-21 |
| 1417245101 | Matthew Feeley | General Practice | 615 N Wolfe St Ste Wb602, Baltimore, MD 21205-2103 | 2011-07-14 |
| Find all providers in BALTIMORE | ||||
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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.