ADVANCED PAIN MANAGEMENT SPECIALISTS LLC (NPI# 1922374255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922374255 |
| Entity Type | Organization |
| Organization Name | ADVANCED PAIN MANAGEMENT SPECIALISTS LLC |
| Other Organization Name | CLEARWAY PAIN SOLUTIONS |
| Practice Address |
2960 Technology Pl Suite 103 Waldorf MD 20601-4966 |
| Mailing Address |
201 Defense Hwy Ste 205 Annapolis MD 21401-7096 |
| Practice Telephone | 3016326092 |
| Practice Fax Number | 4105712947 |
| Mailing Telephone | 4105712946 |
| Mailing Fax Number | 4105734862 |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2020-02-19 |
| Authorized Official Name | DAMEAN FREAS (CEO) |
| Authorized Official Telephone | 4105712946 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | Other Service Providers | ||
| N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Clearway Pain Solutions | Doing Business As Name - Organization |
| KureSmart Pain Management | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477815751 | Advanced Pain Management Specialists LLC | Specialist | 23000 Moakley St Ste 206, Leonardtown, MD 20650-2917 | 2012-06-12 |
| 1366718694 | Advanced Pain Management Specialists LLC | Specialist | 7300 Hanover Dr., Suite 103, Greenbelt, MD 20770-2250 | 2012-03-30 |
| 1700152105 | Advanced Pain Management Specialists LLC | Durable Medical Equipment & Medical Supplies | 598 Cynwood Dr Ste 105, Easton, MD 21601-3875 | 2012-03-29 |
| 1831465483 | Advanced Pain Management Specialists LLC | Specialist | 6602 Church Hill Rd Ste 550, Chestertown, MD 21620-2323 | 2012-03-28 |
| 1598311615 | Advanced Pain Management Specialists LLC | Psychologist | 7920 Mcdonogh Rd Ste 201, Owings Mills, MD 21117-5323 | 2019-08-14 |
| 1154728814 | Advanced Pain Management Specialists LLC | Durable Medical Equipment & Medical Supplies | 160 Sallitt Dr, Suite 100, Stevensville, MD 21666-2154 | 2014-11-24 |
| 1720496649 | Advanced Pain Management Specialists LLC | Anesthesiology | 8367 Cherry Ln, Unit 7, Laurel, MD 20707-4831 | 2014-07-23 |
| 1023384310 | Advanced Pain Management Specialists LLC | Nurse Practitioner | 7671 Quarterfield Rd, Suite 301, Glen Burnie, MD 21061-4525 | 2012-03-30 |
| 1013283340 | Advanced Pain Management Specialists LLC | Durable Medical Equipment & Medical Supplies | 127 Lubrano Dr, Suite 100, Annapolis, MD 21401-7559 | 2012-03-30 |
| 1629344957 | Advanced Pain Management Specialists LLC | Rehabilitation Practitioner | 120 Sallitt Dr, Suite D, Stevensville, MD 21666-2154 | 2012-03-30 |
| Street Address |
2960 TECHNOLOGY PL SUITE 103 |
| City | WALDORF |
| State | MD |
| Zip Code | 20601-4966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154960128 | Sarian Beverly Wilson | Nurse Practitioner | 2203 Kayhill Dr, Waldorf, MD 20601 | 2019-12-23 |
| 1447778055 | Macy Alexandra Forman | Pharmacist | 3061 Tecnology Place, Waldorf, MD 20601 | 2017-09-04 |
| 1922523919 | Gregoire Mcclain | Counselor | Pathways Inc 2670 Crain Hwy, Suite 409, Waldorf, MD 20601 | 2017-08-10 |
| 1477091866 | Lutisse Cooper | Home Health Aide | 2520 Breakwater Court, Waldorf, MD 20601 | 2017-02-06 |
| 1609321637 | Kierra Jordan | Counselor | 2255 Crain Hwy Ste 102, Waldorf, MD 20601 | 2016-08-19 |
| 1215286828 | Linda Kline-lau | Counselor | 2255 Crain Highway, Waldorf, MD 20601 | 2012-08-29 |
| 1205124609 | Marian E. Kirk | Physical Therapist | 2960 Technology Place, Suite 110, Waldorf, MD 20601 | 2011-07-19 |
| 1932345238 | Patient First Maryland Medical Group | Non-Pharmacy Dispensing Site | 2855 Crain Highway, Waldorf, MD 20601 | 2008-12-17 |
| 1720150741 | Marianna Jeanne Patente | Counselor | 2670 Crain Highway, Suite #401, Waldorf, MD 20601 | 2006-11-14 |
| 1407940968 | Harold J. Pincus | Dentist | 2955 Crain Hwy., Waldorf, MD 20601 | 2006-10-02 |
| Find all providers in zip 20601 | ||||
| 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 |
|---|---|---|---|---|
| 1942839162 | Physical Medicine Associates, Ltd | Pain Medicine | 3460 Old Washington Rd Ste 300, Waldorf, MD 20602-3245 | 2020-04-08 |
| 1104467463 | Maryland Pain & Regenerative Center, LLC | Pain Medicine | 12070 Old Line Ctr, Waldorf, MD 20602-2513 | 2019-10-07 |
| 1437458809 | Center for Pain Management,llc | Pain Medicine | 3460 Old Washington Rd, Suite 300, Waldorf, MD 20602-3240 | 2011-03-24 |
| 1063626836 | Richard James Brouillette | Pain Medicine | 3460 Old Washington Rd, Suite 300, Waldorf, MD 20602-3240 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679112650 | Center for Pain Management, LLC | Pain Medicine | 3407 Wilkens Ave Ste 240, Baltimore, MD 21229-5222 | 2019-12-23 |
| 1578078804 | Center for Pain Management, LLC | Pain Medicine | 5801 Allentown Road, 503, Suitland, MD 20746 | 2017-12-08 |
| 1508384116 | Zainab Bundu | Pain Medicine | 135 Bowie Rd, Laurel, MD 20707-4631 | 2017-09-04 |
| 1164781472 | Center for Pain Management,llc | Pain Medicine | 8824 Cunningham Dr Ste B, Berwyn Heights, MD 20740-2338 | 2012-05-07 |
| 1245596139 | Harrison Linder | Pain Medicine | 345 Saint Paul St Fl 4, Baltimore, MD 21202-2123 | 2012-04-05 |
| 1568601656 | Washington Metro Pain Institute | Pain Medicine | 7300 Hanover Drive # 204, Greenbelt, MD 20770 | 2009-02-12 |
| 1285896696 | Kenneth J. Murray, P.a. | Pain Medicine | 1310 Ruxton Rd, Towson, MD 21204-6601 | 2008-06-26 |
| 1619170685 | Janak A Vidyarthi | Pain Medicine | 1130 Annapolis Rd, Suite 100, Odenton, MD 21113-1648 | 2007-06-07 |
| 1336230416 | Carey-walter Franklin Closson | Pain Medicine | 16900 Science Dr, Ste100, Bowie, MD 20715-4401 | 2006-09-27 |
| 1396755286 | Christopher James Galuardi | Pain Medicine | 10308 Old Ocean City Blvd, Berlin, MD 21811-1132 | 2006-08-09 |
| Find all providers with the same taxonomy | ||||
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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.