MARYLAND REHAB AND PAIN SPECIALISTS,LLC (NPI# 1962788323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962788323 |
| Entity Type | Organization |
| Organization Name | MARYLAND REHAB AND PAIN SPECIALISTS,LLC |
| Practice Address |
5070 Dorsey Hall Dr Suite 101 Ellicott City MD 21042-7711 |
| Practice Telephone | 4108849293 |
| Practice Fax Number | 4108846933 |
| Mailing Telephone | 4108849293 |
| Mailing Fax Number | 4108846933 |
| Enumeration Date | 2011-10-31 |
| Last Update Date | 2013-01-08 |
| Authorized Official Name | CATHY X. GAO (PRESIDENT) |
| Authorized Official Telephone | 4108849293 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | D0057718 | MD | Managed Care Organizations |
| Street Address |
5070 DORSEY HALL DR SUITE 101 |
| City | ELLICOTT CITY |
| State | MD |
| Zip Code | 21042-7711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861950792 | Danielle Coliukos | Student in an Organized Health Care Education/Training Program | 3006 Fawnwood Dr, Ellicott City, MD 21042 | 2019-03-11 |
| 1700356110 | Sung Hee Moon | Acupuncturist | 9005 Chevrolet Dr #4, Ellicott City, MD 21042 | 2018-11-28 |
| 1902375009 | Sharon N Allen | Speech-Language Pathologist | Hcpss, 10910 Clarksville Pike, Ellicott City, MD 21042 | 2018-11-19 |
| 1043700412 | Samirawit Hailemariam | Registered Nurse | 9527 Liverpool Lane, Ellicott City, MD 21042 | 2018-05-11 |
| 1144771965 | Maryland Psychotherapy Services | Community/Behavioral Health | 7054 Dorsey Hall Dr., Suite 104, Ellicott City, MD 21042 | 2016-10-17 |
| 1861851321 | The Lutheran Village At Miller's Grant, Inc. | Skilled Nursing Facility | 9000 Fathers Legacy, Ellicott City, MD 21042 | 2016-02-12 |
| 1942676952 | Hyoung Keun Kim | Dentist | 10033 Baltimore Pike Suite 320, Ellicott City, MD 21042 | 2015-08-13 |
| 1356743553 | Cvs Pharmacy | Pharmacist | 3300a Centennial Lane, Ellicott City, MD 21042 | 2014-09-18 |
| 1821407719 | Zulema Roberts | Counselor | 3355 St. Johns Lane, Suite F, Ellicott City, MD 21042 | 2014-08-05 |
| 1548681638 | Better Life Pain Clinic, Pllc | Physical Medicine & Rehabilitation | 3459 St. John's Lane, Suite 9, Ellicott City, MD 21042 | 2013-12-17 |
| Find all providers in zip 21042 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225158686 | Accuvision Ellicott City Inc | Preferred Provider Organization | 10050 Baltimore National Pike, Suite F100, Ellicott City, MD 21042-3501 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184175440 | Black Nurses Rock - Baltimore. Md Chapter | Preferred Provider Organization | 7017 Hamlet Avenue, Parkville, MD 21234 | 2016-10-20 |
| 1073063632 | Tamieko Ross-anyaso | Preferred Provider Organization | 5919 Lebanon Ln, Elkridge, MD 21075-5142 | 2016-10-07 |
| 1124574744 | I Can't We Can Counseling Center | Preferred Provider Organization | 7060 O(akland Mills Rd, Columbia, MD 21043 | 2016-09-01 |
| 1104273952 | Setif Inc | Preferred Provider Organization | 4920 Niagara Rd Ste 107, College Park, MD 20740-1121 | 2016-05-23 |
| 1518343599 | B& E Ventures Plc | Preferred Provider Organization | 17408 Cherokee Ln, Olney, MD 20832-2163 | 2015-07-31 |
| 1114314150 | Med-ped Healthcare, LLC | Preferred Provider Organization | 4701 Melbourne Pl, College Park, MD 20740-2540 | 2015-04-16 |
| 1306235601 | Hyun Jang | Preferred Provider Organization | 6650 Belair Rd, Baltimore, MD 21206-1874 | 2015-01-10 |
| 1295134005 | Prince Georges County Health Dept. | Preferred Provider Organization | 301 Hampton Park Blvd, Capitol Hgts, MD 20743-3822 | 2014-08-18 |
| 1669881272 | Parker Psychiatric Services, Incorporated | Preferred Provider Organization | 940 Madison Ave Ste 202, Baltimore, MD 21201-2113 | 2014-08-07 |
| 1598046567 | Carefirst | Preferred Provider Organization | 1505 May Dr, Salisbury, MD 21804-7258 | 2011-09-06 |
| Find all providers with the same taxonomy | ||||
| City | ELLICOTT CITY |
| Zip Code | 21042 |
Please comment or provide details below to improve the information on MARYLAND REHAB AND PAIN SPECIALISTS,LLC.
| 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.