WHITE MARSH HEALTHCARE & PHYSICAL MEDICINE,LLC (NPI# 1598139792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598139792 |
| Entity Type | Organization |
| Organization Name | WHITE MARSH HEALTHCARE & PHYSICAL MEDICINE,LLC |
| Other Organization Name | BALTIMORE PAIN RELIEF CENTER |
| Practice Address |
2225 N Charles St Baltimore MD 21218-5778 |
| Mailing Address |
5430 Campbell Blvd White Marsh MD 21162-5500 |
| Practice Telephone | 4437254930 |
| Practice Fax Number | 4436607683 |
| Mailing Telephone | 4437254930 |
| Mailing Fax Number | 4106577478 |
| Enumeration Date | 2015-11-25 |
| Last Update Date | 2015-11-25 |
| Authorized Official Name | DR. TIMOTHY GOBER (PROVIDER/OWNER) |
| Authorized Official Telephone | 4437254930 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | Chiropractic Providers | ||
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Baltimore Pain Relief Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306210521 | White Marsh Healthcare & Physical Medicine,llc | Chiropractor | 4552 Edmondson Ave, Baltimore, MD 21229-1506 | 2015-11-27 |
| 1578928289 | White Marsh Healthcare & Physical Medicine,llc | Chiropractor | 312 Martin Luther King Jr Blvd, Baltimore, MD 21201-1221 | 2015-12-22 |
| 1942674163 | White Marsh Healthcare & Physical Medicine,llc | Clinical Medical Laboratory | 5430 Campbell Blvd, Ste 106, White Marsh, MD 21162-5500 | 2015-11-27 |
| 1528432721 | White Marsh Healthcare & Physical Medicine,llc | Chiropractor | 4000 Old Court Rd, Ste 105, Pikesville, MD 21208-2800 | 2015-11-25 |
| Street Address |
2225 N CHARLES ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21218-5778 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295841658 | Gwendolyn O Johnson | Social Worker | 2225 N Charles St, Baltimore, MD 21218 | 2006-08-21 |
| 1588202220 | Mosaic Community Services, Inc | Clinic/Center | 2225 N Charles St, Baltimore, MD 21218-5778 | 2019-12-12 |
| 1376109975 | Santana Marie Daugherty | Counselor | 2225 N Charles St, Baltimore, MD 21218-5778 | 2019-05-20 |
| 1588147904 | Iris Th Heath | Counselor | 2225 N Charles St, Baltimore, MD 21218-5778 | 2018-09-11 |
| 1336626928 | Monica Dominguez | Social Worker | 2225 N Charles St, Baltimore, MD 21218-5778 | 2018-07-26 |
| 1487141784 | Julia May | Counselor | 2225 N Charles St, Baltimore, MD 21218-5778 | 2018-04-23 |
| 1427587153 | Martin Zayon | Social Worker | 2225 N Charles St, Baltimore, MD 21218-5778 | 2017-06-06 |
| 1073042057 | Lawrence Rakhmanov | Counselor | 2225 N Charles St, Baltimore, MD 21218-5778 | 2017-06-05 |
| 1750734687 | Stephanie P Tobar | Social Worker | 2225 N Charles St, Baltimore, MD 21218-5778 | 2016-07-15 |
| 1821448101 | Ashley Michelle Wall | Social Worker | 2225 N Charles St, Baltimore, MD 21218 | 2016-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851933725 | Tierra Bouyer | Speech-Language Pathologist | 2040 East 32nd Street, Baltimore, MD 21218 | 2019-10-12 |
| 1093273559 | Brenda H. Wells | Social Worker | 200 E. North Ave., Baltimore, MD 21218 | 2019-03-04 |
| 1619441011 | Harwood Behavioral Health Partners, LLC | Community/Behavioral Health | 2514 Greenmount Avenue, Baltimore, MD 21218 | 2019-01-18 |
| 1649740291 | Elise Christine Starkey | Occupational Therapist | 801 Argonne Drive, Baltimore, MD 21218 | 2018-11-27 |
| 1851861421 | Alagra S Bass | Social Worker | 1900 N. Howard Street Suite 300, Baltimore, MD 21218 | 2018-11-27 |
| 1396213575 | Desiree Luerene Israel | Social Worker | 2000 Greenmount Ave Ste 101, Baltimore, MD 21218 | 2018-11-06 |
| 1952885451 | Harwood Behavioral Health Partners, LLC | Clinic/Center | 2514 Greenmount Ave, Baltimore, MD 21218 | 2018-09-20 |
| 1528548047 | Rozi Khan | Student in an Organized Health Care Education/Training Program | 325 East University Pkwy 1-3, Bltimore, MD 21218 | 2018-08-14 |
| 1558866202 | Prabij N/a Dhungana | Student in an Organized Health Care Education/Training Program | 201 E. University Parkway, Dept of Medicine, Baltimore, MD 21218 | 2018-03-26 |
| 1588163562 | Generation 5 Healthcare, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 707 Belgian Ave., Baltimore, MD 21218 | 2018-02-06 |
| Find all providers in zip 21218 | ||||
| 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 |
|---|---|---|---|---|
| 1497203558 | Choice Pain & Rebabilitation Center LLC | Physical Medicine & Rehabilitation | 6615 Reisterstown Rd Ste 302, Baltimore, MD 21215-2689 | 2016-09-19 |
| 1477948842 | Choice Pain & Rebabilitation Center LLC | Physical Medicine & Rehabilitation | 1005 Northpoint Blvd Ste 722, Baltimore, MD 21224-3402 | 2015-04-02 |
| 1295789311 | Norman B Rosen | Physical Medicine & Rehabilitation | 1001 Cromwell Bridge Rd Ste 200, Baltimore, MD 21286-3330 | 2006-05-22 |
| 1487612263 | Robert Alan Lavin | Physical Medicine & Rehabilitation | 10 N Greene St., Suite 4a-150, Bt - 127, Dept. of Neurology, Baltimore, MD 21201-1524 | 2006-05-02 |
| 1972150126 | Johns Hopkins University | Physical Medicine & Rehabilitation | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2019-08-22 |
| 1588115554 | Choice Pain and Rehabilitation Center | Physical Medicine & Rehabilitation | 312 Martin Luther King Jr Blvd, Suite 102, Baltimore, MD 21201-1221 | 2016-10-14 |
| 1013275981 | Sinai Hospital of Baltimore, Inc | Physical Medicine & Rehabilitation | 2401 W Belvedere Ave, Rehab Pain Medicine, Baltimore, MD 21215-5216 | 2012-04-30 |
| 1730404153 | Alfredo B Caragay | Physical Medicine & Rehabilitation | 1120 Saint Paul St, Ground Level, Baltimore, MD 21202-2618 | 2010-03-29 |
| 1033359336 | Behnam Jafarpour | Physical Medicine & Rehabilitation | 3421 Benson Ave, Suite 210, Baltimore, MD 21227-1056 | 2009-02-25 |
| 1457481194 | Gabriel A Martinez Geigel | Physical Medicine & Rehabilitation | 9106 Philadelphia Road, Suite 306, Baltimore, MD 21237 | 2007-03-06 |
| Find all providers in BALTIMORE | ||||
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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.