DECK PAIN MANAGEMENT , LLC (NPI# 1184665069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184665069 |
| Entity Type | Organization |
| Organization Name | DECK PAIN MANAGEMENT , LLC |
| Practice Address |
75 Thomas Johnson Dr Suite C Frederick MD 21702-4895 |
| Mailing Address |
11921 Rockville Pike Suite 505 Rockville MD 20852-2737 |
| Practice Telephone | 3016200012 |
| Practice Fax Number | 3016209687 |
| Mailing Telephone | 4102657300 |
| Mailing Fax Number | 4102659533 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2008-02-19 |
| Authorized Official Name | DR. MARC LOEV (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 3018817246 |
| Authorized Official Credential | M.D. |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | BLUE CROSS | 308CCE | 01 |
| MD | RAILROAD MEDICARE | DE8894 | 01 |
| MD | BLUE CROSS | K907 | 01 |
| Street Address |
75 THOMAS JOHNSON DR SUITE C |
| City | FREDERICK |
| State | MD |
| Zip Code | 21702-4895 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598768764 | Everett T. Hart | Otolaryngology | 75 Thomas Johnson Dr, Ste B, Frederick, MD 21702-4895 | 2005-05-23 |
| 1811281322 | Jennifer Hair | Genetic Counselor, MS | 75 Thomas Johnson Dr, Suite G, Frederick, MD 21702-4895 | 2011-06-01 |
| 1669764114 | Frederick Foot and Ankle Specialists | Durable Medical Equipment & Medical Supplies | 75 Thomas Johnson Dr, Suite I, Frederick, MD 21702-4895 | 2011-05-03 |
| 1710286190 | Center for Pain Management, LLC | Pain Medicine | 75 Thomas Johnson Dr, Ste C, Frederick, MD 21702-4895 | 2011-03-24 |
| 1669785457 | Frederick Foot & Ankle Surgery Center LLC | Clinic/Center | 75 Thomas Johnson Dr, Suite I, Frederick, MD 21702-4895 | 2010-07-21 |
| 1326351776 | George I Smith | Internal Medicine | 75 Thomas Johnson Dr, Suite F, Frederick, MD 21702-4895 | 2010-07-14 |
| 1598085011 | Leota Lifestar LLC | Counselor | 75 Thomas Johnson Dr, Suite E, Frederick, MD 21702-4895 | 2010-06-07 |
| 1417106998 | Family Mri Inc. | Radiology | 75 Thomas Johnson Dr, Suite F, Frederick, MD 21702-4895 | 2008-09-09 |
| 1669669818 | Tuckey and Associates Physical Therapy, LLC | Physical Therapist | 75 Thomas Johnson Dr, Frederick, MD 21702-4895 | 2007-10-02 |
| 1497888226 | Elizabeth Anne Van Dermark | Nurse Practitioner | 75 Thomas Johnson Dr, Suite C, Frederick, MD 21702-4895 | 2007-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129714 | Rita Akowuah | Nurse Practitioner | 1302 Baker Place East Apt 14, Frederick, MD 21702 | 2020-09-18 |
| 1912416272 | Morgan Nicely | Behavior Technician | 65 Thomas Johnson Drive Suite A, Frederick, MD 21702 | 2017-09-29 |
| 1154840494 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 184 Thomas Johnson Dr Ste 104, Frederick, MD 21702 | 2017-09-19 |
| 1831617471 | Hazel Elizabeth Gill | Physical Therapy Assistant | 2007 Butterfield Overlook, Frederick, MD 21702 | 2017-09-05 |
| 1831610161 | William Haynes | Nurse Practitioner | 103 Water Land Ct., Frederick, MD 21702 | 2017-06-27 |
| 1497299333 | Timothy Stimach | Pharmacist | 1430b W Patrick St, Frederick, MD 21702 | 2016-12-12 |
| 1184167405 | Maryland Nutrition and Diet Services, L.L.C. | Dietitian, Registered | 1301 W. 7th Street, No. 1607, Frederick, MD 21702 | 2016-11-18 |
| 1649649468 | Oluwakemi Olubunmi Osidele | Nurse Practitioner | 188 Thomas Johnson Dr Ste 102, Frederick, MD 21702 | 2015-09-22 |
| 1841678562 | Ventzislava Hristova | Spec/Tech, Pathology | 1050 Boyles St. Building 560 Room 12-39, National Cancer Institute - Frederick, Frederick, MD 21702 | 2015-05-14 |
| 1023404571 | Mychal Lynn Pilia | Advanced Practice Midwife | 7420 Hayward Road, Suite 104, Frederick, MD 21702 | 2015-04-11 |
| Find all providers in zip 21702 | ||||
| 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 |
|---|---|---|---|---|
| 1710286190 | Center for Pain Management, LLC | Pain Medicine | 75 Thomas Johnson Dr, Ste C, Frederick, MD 21702-4895 | 2011-03-24 |
| 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.