ATLANTIC INTERVENTIONAL PAIN MANAGEMENT (NPI# 1407184872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407184872 |
| Entity Type | Organization |
| Organization Name | ATLANTIC INTERVENTIONAL PAIN MANAGEMENT |
| Practice Address |
8109 Ritchie Hwy Pasadena MD 21122-6917 |
| Mailing Address |
1424 Illinois Ave Severn MD 21144-2643 |
| Practice Telephone | 4103823013 |
| Practice Fax Number | 4105908839 |
| Mailing Telephone | 4103823013 |
| Mailing Fax Number | 4105908839 |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2010-02-05 |
| Authorized Official Name | HADDIJATOU SECKA OGUNSOLA (SOLE MANAGER) |
| Authorized Official Telephone | 4103823013 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | CAREFIRST | PENDING | 01 |
| GA | RAILROAD MEDICARE | PENDING | 01 |
| MD | MEDICAL ASSISTANCE | PENDING | 01 |
| MD | CAREFIRST | PENDING | 01 |
| MD | MEDICARE | 170685 | 01 |
| Street Address |
8109 RITCHIE HWY |
| City | PASADENA |
| State | MD |
| Zip Code | 21122-6917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871595942 | Mukul Khandelwal | Internal Medicine | 8109 Ritchie Hwy, Pasadena, MD 21122-6917 | 2005-08-10 |
| 1144777038 | Aamg Physical Therapy, LLC | Speech-Language Pathologist | 8109 Ritchie Hwy, Suite 600, Pasadena, MD 21122-6917 | 2016-09-08 |
| 1154774388 | Jesse Hogan | Physical Therapy Assistant | 8109 Ritchie Hwy, Suite 601a, Pasadena, MD 21122-6917 | 2016-07-23 |
| 1992178305 | Donald Martin Miller Jr. | Physical Therapy Assistant | 8109 Ritchie Hwy, Pasadena, MD 21122-6917 | 2015-11-06 |
| 1750784294 | Orthopedic Physicians of Annapolis,llc | Prosthetic/Orthotic Supplier | 8109 Ritchie Hwy, Ste 200, Pasadena, MD 21122-6917 | 2014-09-29 |
| 1063837490 | Anne Arundel Physician Group LLC | Family Medicine | 8109 Ritchie Hwy, Suite 100, Pasadena, MD 21122-6917 | 2014-02-21 |
| 1558650044 | Lauren Parmer | Family Medicine | 8109 Ritchie Hwy, Suite 100, Pasadena, MD 21122-6917 | 2011-04-05 |
| 1710127683 | Orthocare Solutions Inc | Durable Medical Equipment & Medical Supplies | 8109 Ritchie Hwy, Pasadena, MD 21122-6917 | 2009-03-04 |
| 1124216379 | James J. Benjamin | Internal Medicine | 8109 Ritchie Hwy, Pasadena, MD 21122-6917 | 2007-10-11 |
| 1073713798 | Lauren Simpson | Speech-Language Pathologist | 8109 Ritchie Hwy, Pasadena, MD 21122-6917 | 2007-07-20 |
| Find all providers in the same location | ||||
| 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 | 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 |
|---|---|---|---|---|
| 1275674111 | Haddijatou Secka Ogunsola | Anesthesiology | 8055 Ritchie Hwy, Suite 101, Pasadena, MD 21122-1067 | 2007-02-12 |
| 1134279524 | Sabri E Malek | Anesthesiology | 1575 N Lake Ave, Ste 100, Pasadena, CA 91104-2340 | 2007-01-10 |
| 1861468134 | Hilary J Fausett | Anesthesiology | 39 Congress St, #303, Pasadena, CA 91105-3024 | 2006-02-27 |
| 1629060694 | Clayton Alexander Varga | Anesthesiology | 1017 S Fair Oaks Ave, Pasadena, CA 91105-2621 | 2005-08-16 |
| 1285107649 | Best Medcare Pa | Anesthesiology | 4102 Woodlawn Ave Ste 160, Pasadena, TX 77504-1922 | 2019-01-09 |
| 1841607835 | Reach Wellness & Recovery Incorporated | Anesthesiology | 65 N Madison Ave, Suite 202, Pasadena, CA 91101-2035 | 2014-07-22 |
| 1467867440 | Christy Anthony | Anesthesiology | 1017 S Fair Oaks Ave, Pasadena, CA 91105-2621 | 2014-06-27 |
| 1023450947 | Interventional Anesthesia & Pain Management Clinic Inc. | Anesthesiology | 1575 N Lake Ave, Ste 100, Pasadena, CA 91104-2340 | 2013-07-19 |
| 1952748790 | Universally Integrated Pllc | Anesthesiology | 4301 Vista Rd, Pasadena, TX 77504-2117 | 2013-06-03 |
| 1922443704 | Global Pain Management LLC | Anesthesiology | 8055 Ritchie Hwy, Suite 101, Pasadena, MD 21122-1067 | 2013-05-07 |
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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.