PROACTIVE PAIN AND NEUROLOGY, LLC (NPI# 1417460619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417460619 |
| Entity Type | Organization |
| Organization Name | PROACTIVE PAIN AND NEUROLOGY, LLC |
| Practice Address |
921 Seton Dr Ste F&g Cumberland MD 21502-1852 |
| Mailing Address |
Po Box 1602 Cumberland MD 21501-1602 |
| Practice Telephone | 2405220098 |
| Mailing Telephone | 2405220098 |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2019-12-10 |
| Authorized Official Name | PAMELA BUCKEL (OFFICE MANAGER) |
| Authorized Official Telephone | 2403627025 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
D0062211 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | UNITED HEALTHCARE | 006632753 | 01 |
| MD | CAREFIRST | DL77 | 01 |
| AETNA | 630051 | 01 | |
| MD | 999023200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669037008 | Proactive Pain and Neurology, LLC | Nurse Practitioner | 925 Bishop Walsh Rd Ste 10, Cumberland, MD 21502-1845 | 2019-05-01 |
| Street Address |
921 SETON DR STE F&G |
| City | CUMBERLAND |
| State | MD |
| Zip Code | 21502-1852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649829979 | Zharmyn Garcia | Nurse Practitioner | 921 Seton Dr Ste F&g, Cumberland, MD 21502-1852 | 2019-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174141592 | Upmc Western Maryland Corporation | Clinic/Center | 10700 Leslie Lane, Cumberland, MD 21502 | 2020-07-13 |
| 1669934212 | Ultimate Hearing Solutions Vi, LLC | Durable Medical Equipment & Medical Supplies | 701 Park Street, Queen City Centre, Cumberland, MD 21502 | 2019-04-03 |
| 1114497070 | Dianne Liller | Speech-Language Pathologist | 200 Massachusetts Ave, Cumberland, MD 21502 | 2018-12-04 |
| 1386111409 | Rebecca Anne Stewart | Counselor | 217 Glenn Street, Suite 401, Cumberland, MD 21502 | 2018-10-26 |
| 1396222998 | Crystal Lynne Walls | Nurse Practitioner | Western Maryland Health System, 12500 Willowbrook Rd, Cumberland, MD 21502 | 2018-07-26 |
| 1841796554 | Joan Kathleen Hoban | Speech-Language Pathologist | Potomac Behavioral and Occupational Therapy, 240 Henderson Ave., Cumberland, MD 21502 | 2018-04-02 |
| 1760984447 | Christine T. Haines | Social Worker | 907 Seton Drive, Cumberland, MD 21502 | 2018-03-08 |
| 1033632328 | Nicole Mabury | Counselor | 12501 Willowbrook Road, Cumberland, MD 21502 | 2017-07-19 |
| 1073042479 | The Lions Center for Rehabilitation and Extended Care, Inc. | Skilled Nursing Facility | 901 Seton Drive, Cumberland, MD 21502 | 2017-06-08 |
| 1912446816 | Marina Hurst | Counselor | 10102 County Club Road Se, Cumberland, MD 21502 | 2017-02-13 |
| Find all providers in zip 21502 | ||||
| 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 |
|---|---|---|---|---|
| 1710435045 | Pain Medicine of York, LLC | Anesthesiology | 217 Glenn St, 4th Floor, Cumberland, MD 21502 | 2016-09-15 |
| 1841580495 | Lighthouse Medical LLC | Anesthesiology | 217 Glenn St, Suite 401, Cumberland, MD 21502-2460 | 2011-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861986572 | Accessible Integrative Medicine, LLC | Anesthesiology | 30 W Gude Dr Ste 375, Rockville, MD 20850-4300 | 2018-06-16 |
| 1760979116 | Advanced Pain Management Specialists, LLC | Anesthesiology | 331 Oak Manor Dr Ste 102, Glen Burnie, MD 21061-5553 | 2018-04-20 |
| 1407367055 | Consuelo Delores Fernandez | Anesthesiology | 6196 Oxon Hill Rd Ste 210, Oxon Hill, MD 20745-3137 | 2017-10-22 |
| 1598217291 | Advanced Pain Management Specialists, LLC | Anesthesiology | 10905 Fort Washington Rd Ste 405, Ft Washington, MD 20744-5807 | 2016-10-28 |
| 1104280957 | Brent Earls | Anesthesiology | 601 N Caroline St # 3062, Baltimore, MD 21287-0006 | 2016-04-07 |
| 1306213186 | Matsunaga Pain Management LLC | Anesthesiology | 8894 Stanford Blvd., Suite 104, Columbia, MD 21045-5161 | 2015-08-27 |
| 1801213863 | Jonathan Sean Woo | Anesthesiology | 22 South Greene Street, Room S11c00, Anestheisology, Baltimore, MD 21201 | 2014-03-27 |
| 1437409844 | Romana Baig | Anesthesiology | 1000 Bestgate Rd, Ste 400, Annapolis, MD 21401-3371 | 2012-09-12 |
| 1730455155 | Kim Vuong Hoang | Anesthesiology | 8455 Colesville Rd Ste 200, Silver Spring, MD 20910 | 2012-03-29 |
| 1295026342 | Anesthesia and Interventional Pain Management Center | Anesthesiology | 12821 Oak Hill Ave Ste 2, Hagerstown, MD 21742-2937 | 2011-04-25 |
| Find all providers with the same taxonomy | ||||
| City | CUMBERLAND |
| Zip Code | 21502 |
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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.