ALL STAR PAIN MANAGEMENT AND REGENERATIVE MEDICINE, LLC (NPI# 1275083461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275083461 |
| Entity Type | Organization |
| Organization Name | ALL STAR PAIN MANAGEMENT AND REGENERATIVE MEDICINE, LLC |
| Practice Address |
1600 Crain Hwy S Suite 206 Glen Burnie MD 21061-5577 |
| Practice Telephone | 4107665821 |
| Mailing Telephone | 4107665821 |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2016-10-11 |
| Authorized Official Name | DR. ZVEZDOMIR ZAMFIROV (FOUNDER/CEO) |
| Authorized Official Telephone | 2672071298 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
D0064806 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
1600 CRAIN HWY S SUITE 206 |
| City | GLEN BURNIE |
| State | MD |
| Zip Code | 21061-5577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194721753 | Michael John Daly | Pain Medicine | 1600 Crain Hwy S, Suite 301, Glen Burnie, MD 21061-5577 | 2005-06-28 |
| 1144884909 | Aisha Zareen | Physical Therapist | 1600 Crain Hwy S, Glen Burnie, MD 21061-5577 | 2019-04-26 |
| 1184196024 | Courtney Keegan Perkins | Nurse Practitioner | 1600 Crain Hwy S, Glen Burnie, MD 21061-5577 | 2018-12-17 |
| 1003383779 | Sanchez Brown | Nurse Practitioner | 1600 Crain Hwy S, Glen Burnie, MD 21061-5577 | 2018-10-30 |
| 1306357595 | Kia Ahmed | Nurse Practitioner | 1600 Crain Hwy S, Glen Burnie, MD 21061-5577 | 2017-10-16 |
| 1326571415 | Kimberly Layton Rice | Nurse Practitioner | 1600 Crain Hwy S, Suite 201, Glen Burnie, MD 21061-5577 | 2017-04-06 |
| 1871044834 | Megan Fredricks Cocco | Counselor | 1600 Crain Hwy S, Suite 503, Glen Burnie, MD 21061-5577 | 2016-10-14 |
| 1528517307 | Maryland Sportscare & Rehab, LLC | Physical Therapist | 1600 Crain Hwy S, 302, Glen Burnie, MD 21061-5577 | 2016-09-22 |
| 1194270959 | Ashley Nicole Fogarty | Physical Therapist | 1600 Crain Hwy S, Suite 302, Glen Burnie, MD 21061-5577 | 2016-08-22 |
| 1134571169 | Centers for Advanced Orthopaedics, LLC | Occupational Therapist | 1600 Crain Hwy S, Suite 401, Glen Burnie, MD 21061 | 2016-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255814422 | Lotus Behavioral Health and Rehabilitation Services Inc. | Behavior Technician | 6426 Harrison Square, Glen Burnie, MD 21061 | 2018-09-12 |
| 1942795315 | Tina Brown | Behavior Technician | Rise for Autism, 510 Mccormick Drive, Ste. U-w, Glen Burnie, MD 21061 | 2018-06-27 |
| 1205351905 | Digna Emerita Sanchez De Vasquez | Specialist/Technologist, Other | 201 Fernglen Ave, Glen Burnie, MD 21061 | 2017-08-03 |
| 1255780300 | Rachel Cutts | Physical Therapist | 7711 Quarterfield Rd Ste C2, Glen Burnie, MD 21061 | 2016-06-09 |
| 1295181170 | Gaudenzia, Inc. | Counselor | 5 Crain Highway North - Rear Suite Entrance, Glen Burnie, MD 21061 | 2016-05-10 |
| 1023499548 | Mary Bourbon | Nurse Practitioner | 1600 S. Cain Highway, Suite 401, Glen Burnie, MD 21061 | 2015-06-10 |
| 1972997724 | Robert Oladeinde | Physician Assistant | 6934 Aviation Blvd Suite B, Glen Burnie, MD 21061 | 2015-03-18 |
| 1205248069 | Cathy Qing He | Anesthesiology | 1600 Crain Hwy S Ste 301, Glen Burnie, MD 21061 | 2014-05-28 |
| 1477974764 | Shannon Holder | Nurse Practitioner | 1916 Crain Hwy S Ste 2, Glen Burnie, MD 21061 | 2014-01-03 |
| 1629404207 | Marla Ann Muha | Physician Assistant | 301 Hospital Dr # 803, Glen Burnie, MD 21061 | 2013-09-16 |
| Find all providers in zip 21061 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972999753 | Thomas Minh Phan | Physical Medicine & Rehabilitation | 1600 Crain Hwy S Ste 401, Glen Burnie, MD 21061-6413 | 2015-04-08 |
| 1437149499 | Susan Zimmerman | Physical Medicine & Rehabilitation | 331 Oak Manor Dr, Suite 102, Glen Burnie, MD 21061-5508 | 2005-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285123869 | Eastside Medical Care | Physical Medicine & Rehabilitation | 732b E Main St, Salisbury, MD 21804-5037 | 2018-05-09 |
| 1225588676 | Choice Pain & Rebabilitation Center LLC | Physical Medicine & Rehabilitation | 7106 Ridge Rd Ste 100, Rosedale, MD 21237-3876 | 2016-10-10 |
| 1497203558 | Choice Pain & Rebabilitation Center LLC | Physical Medicine & Rehabilitation | 6615 Reisterstown Rd Ste 302, Baltimore, MD 21215-2689 | 2016-09-19 |
| 1558757914 | Choice Pain & Rebabilitation Center LLC | Physical Medicine & Rehabilitation | 3413 Olandwood Ct Ste 103, Olney, MD 20832-1489 | 2015-04-13 |
| 1033505391 | Choice Pain & Rebabilitation Center LLC | Physical Medicine & Rehabilitation | 6475 New Hampshire Ave Ste 620, Hyattsville, MD 20783-3280 | 2015-04-13 |
| 1477948842 | Choice Pain & Rebabilitation Center LLC | Physical Medicine & Rehabilitation | 1005 Northpoint Blvd Ste 722, Baltimore, MD 21224-3402 | 2015-04-02 |
| 1225459936 | Pain and Wellness Center of Maryland, LLC | Physical Medicine & Rehabilitation | 601 Post Office Rd Ste 2a, Waldorf, MD 20602 | 2013-12-23 |
| 1922429935 | Health Management and Rehabilitation LLC | Physical Medicine & Rehabilitation | 13907 Willow Tree Dr, Rockville, MD 20850-5434 | 2013-12-17 |
| 1548681638 | Better Life Pain Clinic, Pllc | Physical Medicine & Rehabilitation | 3459 St. John's Lane, Suite 9, Ellicott City, MD 21042 | 2013-12-17 |
| 1871868539 | Physical Medicine Associates Ltd | Physical Medicine & Rehabilitation | 174 Waterfront St, Suite 320, National Harbor, MD 20745 | 2012-03-14 |
| Find all providers with the same taxonomy | ||||
| City | GLEN BURNIE |
| Zip Code | 21061 |
Please comment or provide details below to improve the information on ALL STAR PAIN MANAGEMENT AND REGENERATIVE MEDICINE, LLC.
| 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.