SPINE AND REHABILITATION PHYSICIANS, P.A. (NPI# 1881945723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881945723 |
| Entity Type | Organization |
| Organization Name | SPINE AND REHABILITATION PHYSICIANS, P.A. |
| Practice Address |
5500 Knoll North Dr Suite 235 Columbia MD 21045-2370 |
| Mailing Address |
Po Box 62812 Baltimore MD 21264-2812 |
| Practice Telephone | 4435420932 |
| Practice Fax Number | 4435420983 |
| Mailing Telephone | 8665883588 |
| Mailing Fax Number | 7708368636 |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2013-12-26 |
| Authorized Official Name | MAURICIO JAVIER ACEBEY (MANAGING OWNER) |
| Authorized Official Telephone | 4046687920 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
D63675 | MD | Allopathic & Osteopathic Physicians |
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
D63675 | MD | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
D63675 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
5500 KNOLL NORTH DR SUITE 235 |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21045-2370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487650891 | Shanita Chase | Family Medicine | 5500 Knoll North Dr, Suite 370, Columbia, MD 21045-2209 | 2005-06-22 |
| 1023621174 | Wendy Strong | Nurse Practitioner | 5500 Knoll North Dr, Columbia, MD 21045-2370 | 2020-08-28 |
| 1386209302 | Nasseri Clinic of Arthritic & Rheumatic Diseases, LLC | Internal Medicine | 5500 Knoll North Dr, Columbia, MD 21045-2370 | 2019-05-06 |
| 1255807228 | Amber Bokhari | Student in an Organized Health Care Education/Training Program | 5500 Knoll North Dr, Columbia, MD 21045-2370 | 2018-10-17 |
| 1164971644 | Lauren Heather Saks | Social Worker | 5500 Knoll North Dr, Suite 370, Columbia, MD 21045-2370 | 2016-09-26 |
| 1033560438 | Lisa M Alley | Specialist/Technologist | 5500 Knoll North Dr, Columbia, MD 21045-2370 | 2016-06-27 |
| 1245684547 | One World Healthcare LLC | Internal Medicine | 5500 Knoll North Dr, Suite 220, Columbia, MD 21045-2370 | 2016-04-22 |
| 1598127391 | Glen Burnie Physical Therapy & Sportscare, LLC | Occupational Therapist | 5500 Knoll North Dr, Ste 150, Columbia, MD 21045 | 2016-03-22 |
| 1700245552 | Maria Loreto Miranda Bravo | Counselor | 5500 Knoll North Dr, 370, Columbia, MD 21045-2370 | 2016-02-22 |
| 1457717480 | Kimberly Mcgeady | Audiologist | 5500 Knoll North Dr, Suite 320, Columbia, MD 21045-2370 | 2016-01-06 |
| Find all providers in the same location | ||||
| 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 | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144576612 | Firstchoice Healthcare PC | Pain Medicine | 7021 Saint Andrews Rd, Suite 1, Columbia, SC 29212-1177 | 2012-08-02 |
| 1326344086 | Firstchoice Healthcare, PC | Pain Medicine | 120 Highland Center Dr, Suite 105, Columbia, SC 29203-9127 | 2011-01-28 |
| 1194856773 | Gregory Richard Bowers | Pain Medicine | 1510 Hatcher Ln, Suite 1, Columbia, TN 38401-4813 | 2007-03-08 |
| 1952396384 | Giovanni Faccia | Pain Medicine | 230 E James M Campbell Blvd Ste 102, Columbia, TN 38401-0504 | 2005-09-12 |
| 1376175000 | Carolina Pain Solutions, LLC | Pain Medicine | 2712 Middleburg Dr Ste 206, Columbia, SC 29204-2415 | 2020-02-11 |
| 1831661503 | Midlands Comprehensive Pain, LLC | Pain Medicine | 2601 Millwood Ave, Columbia, SC 29205-1218 | 2018-12-19 |
| 1922511658 | Carolina Healthchoice of Columbia, LLC | Pain Medicine | 1494 Lake Murray Blvd, Columbia, SC 29212-8697 | 2017-11-16 |
| 1871021550 | Midlands Pain Solutions LLC | Pain Medicine | 4531 Hard Scrabble Rd, Columbia, SC 29229-8561 | 2017-05-25 |
| 1689004277 | Center for Pain Management, LLC | Pain Medicine | 7120 Minstrel Way, Ste. 106, Columbia, MD 21045-5248 | 2013-11-18 |
| 1588926711 | Steve Storick, Md, Pa | Pain Medicine | 223 Stoneridge Dr, Columbia, SC 29210-8049 | 2012-06-13 |
| 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.