PASADENA NECK AND BACK PAIN CENTER LLC (NPI# 1235122086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235122086 |
| Entity Type | Organization |
| Organization Name | PASADENA NECK AND BACK PAIN CENTER LLC |
| Practice Address |
8096 Edwin Raynor Blvd Ste A Pasadena MD 21122-6837 |
| Practice Telephone | 4103600014 |
| Practice Fax Number | 4103600064 |
| Mailing Telephone | 4103600014 |
| Mailing Fax Number | 4103600064 |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2012-04-25 |
| Authorized Official Name | RAYMOND K BARRY (OWNER) |
| Authorized Official Telephone | 4103600014 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | S01558 | MD | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | BCBS OF DC | T773 | 01 |
| MD | ACN | 629389 | 01 |
| MD | MAMSI | 353259 | 01 |
| MD | AETNA | 2184080 | 01 |
| MD | BCBS MD | KE24PA | 01 |
| Street Address |
8096 EDWIN RAYNOR BLVD STE A |
| City | PASADENA |
| State | MD |
| Zip Code | 21122-6837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952590986 | Raymond K Barry | Chiropractor | 8096 Edwin Raynor Blvd Ste A, Pasadena, MD 21122-6837 | 2007-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889211 | Hyunji Lee | Pharmacist | 8107 Governor Ritchie Highway, Pasadena, MD 21122 | 2020-10-25 |
| 1538712625 | Liri Fusha | Clinic/Center | 8221 Richie Hwy Suit #102, Pasadena, MD 21122 | 2019-07-18 |
| 1730649922 | Barrett Arthur Tollenger | Counselor | 2825 Mountain Road, Suite 204, Pasadena, MD 21122 | 2019-03-22 |
| 1750849543 | Bradley J Spoon | Counselor | 8028 Ritchie Highway St. 312, Pasadena, MD 21122 | 2019-03-11 |
| 1366916553 | Brittney Byrd | Behavior Technician | 7759 Middlegate Ct, Pasadena, MD 21122 | 2019-01-22 |
| 1780154310 | Amanda Ann Zeller | Speech-Language Pathologist | 8515 Jenkins Road, Pasadena, MD 21122 | 2018-11-27 |
| 1225531544 | Anne Arundel-sca Surgicenter, LLC | Clinic/Center | 8109 Ritchie Hwy Ste 250, Pasadena, MD 21122 | 2018-03-13 |
| 1629577424 | Anne Arundel Physician Group, LLC | Obstetrics & Gynecology | 18 Magothy Beach Road Suite A, Pasadena, MD 21122 | 2018-02-07 |
| 1063968261 | Chinedu Ikpemo | Pharmacist | 8051 Fort Smallwood Rd, Pasadena, MD 21122 | 2016-08-28 |
| 1053728634 | Wisecare, LLC | Clinic/Center | 33 Magothy Beach Rd, Suite 102-103, Pasadena, MD 21122 | 2014-07-16 |
| Find all providers in zip 21122 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376193995 | La Louise Company LLC | Chiropractor | 1414 W Colorado Blvd, Pasadena, CA 91105-1414 | 2019-09-16 |
| 1699336602 | Katarina Rigali | Chiropractor | 133 S Hudson Ave Ste 2, Pasadena, CA 91101-2614 | 2019-06-21 |
| 1518520154 | Haig Basmadjian | Chiropractor | 117 W Bellevue Dr Ste 4, Pasadena, CA 91105-2548 | 2019-04-18 |
| 1487110359 | Andres Tomas De La Cruz | Chiropractor | 131 N El Molino Ave Ste 180, Pasadena, CA 91101-5601 | 2019-02-15 |
| 1568974905 | Roger G Alonso | Chiropractor | 1450 N Lake Ave Ste 100, Pasadena, CA 91104-2301 | 2017-10-25 |
| 1831619311 | Matthew James Starling | Chiropractor | 145 Vista Ave Ste 103, Pasadena, CA 91107-3699 | 2017-06-26 |
| 1134659378 | Arman Tchoukadarian | Chiropractor | 610 N. Lake Ave., Pasadena, CA 91101-1220 | 2017-06-19 |
| 1023461555 | Forte Wellness Inc | Chiropractor | 1028 N. Lake Ave, Suite 205, Pasadena, CA 91104-4570 | 2016-07-20 |
| 1861850620 | Dwane Davis Jr. | Chiropractor | 1420 Preston Ave Ste G, Pasadena, TX 77503-2556 | 2016-02-08 |
| 1598153066 | Derek Pham | Chiropractor | 100 W Villa St Ste 103, Pasadena, CA 91103-3345 | 2015-01-06 |
| Find all providers in PASADENA | ||||
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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.