MATSUNAGA PAIN MANAGEMENT LLC (NPI# 1306213186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306213186 |
| Entity Type | Organization |
| Organization Name | MATSUNAGA PAIN MANAGEMENT LLC |
| Other Organization Name | COMPREHENSIVE PAIN CENTER |
| Practice Address |
8894 Stanford Blvd. Suite 104 Columbia MD 21045-5161 |
| Mailing Address |
8894 Stanford Blvd Suite 104 Columbia MD 21045-4794 |
| Practice Telephone | 4109977246 |
| Practice Fax Number | 4109977226 |
| Mailing Telephone | 4109977246 |
| Mailing Fax Number | 4109977226 |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2016-08-09 |
| Authorized Official Name | MARK T. MATSUNAGA (PRESIDENT & OWNER) |
| Authorized Official Telephone | 4109977246 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
D0037907 | MD | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Comprehensive Pain Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033665450 | Matsunaga Pain Management LLC | Clinical Medical Laboratory | 9755 Patuxent Woods Dr, Suite 100, Columbia, MD 21046-2286 | 2016-08-26 |
| Street Address |
8894 STANFORD BLVD. SUITE 104 |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21045-5161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497374136 | Keenan Eldridge | Behavior Technician | 8950 Md-108, Suite 100, Columbia, MD 21045 | 2020-04-13 |
| 1730724220 | Luci Lee Redman Cassella | Family Medicine | 8900 Columbia 100 Parway Suite G, Columbia, MD 21045 | 2019-11-08 |
| 1417519414 | Howard County Health Department | Clinic/Center | Cradlerock Elementary School-based Wellness Center, 6700 Cradlerock Way, Columbia, MD 21045 | 2019-07-01 |
| 1649754490 | Dana Pirzchalski | Behavioral Analyst | 8815 Columbia Parkwary, 4, Columbia, MD 21045 | 2018-09-18 |
| 1871089177 | Melissa Jo Kennedy | Behavior Technician | 8815 Columbia Parkway, 4, Columbia, MD 21045 | 2018-07-10 |
| 1497246193 | Kjd | Physical Therapist | 8900 Columbia 100 Pkwy Ste C, Columbia, MD 21045 | 2018-05-29 |
| 1174010276 | Roger Lee | Audiologist | 8600 Snowden River Pkwy #309, Columbia, MD 21045 | 2018-04-16 |
| 1811497910 | Dominique Nichole Hale | Behavior Technician | 8115 Columbia 100 Parkway, Suite 4, Columbia, MD 21045 | 2018-02-15 |
| 1982116802 | Bradley D. Stiles | Acupuncturist | 6257 Deep River Cyn, Columbia, MD 21045 | 2017-11-01 |
| 1194234849 | University of Maryland Eye Associates, P.a. | Eyewear Supplier (Equipment, not the service) | 5900 Waterloo Road, Suite 230, Columbia, MD 21045 | 2017-09-26 |
| Find all providers in zip 21045 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427387570 | Carolinas Center for Advanced Management of Pain, Pa | Anesthesiology | 7021 Saint Andrews Rd Ste 1, Columbia, SC 29212-1177 | 2009-12-21 |
| 1346477221 | John C Welker | Anesthesiology | 1222 Trotwood Ave Ste 101, Columbia, TN 38401-6404 | 2009-06-17 |
| 1730291766 | Steven Carl Levin | Anesthesiology | 10700 Charter Dr Ste 205, Columbia, MD 21044-3687 | 2006-08-31 |
| 1013022516 | Kamran Zargham Koranloo | Anesthesiology | 1821 Clemson Rd, Columbia, SC 29229-7832 | 2006-08-21 |
| 1003820119 | James Strachan Houston | Anesthesiology | 10980 Grantchester Way, Columbia, MD 21044-6097 | 2006-07-27 |
| 1477547461 | Richard M. Wolkowitz | Anesthesiology | 305 N Keene St, Suite 105, Columbia, MO 65201-6897 | 2005-09-06 |
| 1548886641 | Kayla Morgan Taylor | Anesthesiology | 2611 Forest Dr Ste 200, Columbia, SC 29204-2371 | 2020-06-24 |
| 1801435276 | Richard M Wolkowitz Md PC | Anesthesiology | 305 N Keene St Ste 107, Columbia, MO 65201-6897 | 2020-01-02 |
| 1326430208 | Lake Carolina Pain and Spine Center, LLC | Anesthesiology | 1821 Clemson Rd, Columbia, SC 29229-7832 | 2015-03-02 |
| 1326485426 | Brandon Cody Banks | Anesthesiology | 230 E James M Campbell Blvd Ste 102, Columbia, TN 38401 | 2013-05-29 |
| 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.