Sudhir Rao (NPI# 1629103759, PAC ID# 6608965223) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1629103759 |
| PAC ID by PECOS | 6608965223 |
| Professional Enrollment ID | I20081002000443 |
| Full Name | Sudhir Rao |
| Organization Legal Name | PAIN AND SPINE SPECIALISTS OF MARYLAND LLC |
| Address |
2702 Back Acre Cir Suite 290b Mount Airy MD 21771-7769 |
| Phone Number | 3017038767 |
| Gender | M |
| Graduation Year | 2002 |
| Primary Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| Secondary Specialties | ANESTHESIOLOGY |
| Group Practice PAC ID | 2668628124 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390041 | UNIONTOWN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2614 Memorial Blvd, Suite A, Connellsville, PA 15425-1405 | 7246033560 | PAIN AND SPINE SPECIALISTS OF MARYLAND LLC |
| 19851 Observation Dr, Suite 450, Germantown, MD 20876-4148 | 3017038767 | PAIN AND SPINE SPECIALISTS OF MARYLAND LLC |
| 2034 Pro Pointe Ln, Harrisonburg, VA 22801-8021 | 3017038767 | PAIN AND SPINE SPECIALISTS OF MARYLAND LLC |
| 2034 Pro Pointe Ln, Harrisonburg, VA 22801-8021 | 5404331905 | NASPACVA LLC |
| 1408 Savannah Rd, Lewes, DE 19958-1623 | 3017038676 | PAIN AND SPINE SPECIALISTS OF MARYLAND LLC |
| 2702 Back Acre Cir, Suite 290b, Mount Airy, MD 21771-7769 | 3017038767 | PAIN AND SPINE SPECIALISTS OF MARYLAND LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | PAIN AND SPINE SPECIALISTS OF MARYLAND LLC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aaron L Kime | Nurse Practitioner | Pain and Spine Specialists of Maryland LLC | 100 Emerson Ln, Bridgeville, PA 15017-3484 |
| Greg Hites | Nurse Practitioner | Pain and Spine Specialists of Maryland LLC | 2614 Memorial Blvd, Suite A, Connellsville, PA 15425-1405 |
| Lindsay Erdmann | Nurse Practitioner | Pain and Spine Specialists of Maryland LLC | 4801 Dorsey Hall Dr, Suite 130, Ellicott City, MD 21042-7763 |
| Zainab Bundu | Nurse Practitioner | Pain and Spine Specialists of Maryland LLC | 4801 Dorsey Hall Dr, Suite 130, Ellicott City, MD 21042-7763 |
| Katina Fetsko | Nurse Practitioner | Pain and Spine Specialists of Maryland LLC | 2614 Memorial Blvd, Suite A, Connellsville, PA 15425-1405 |
| Suhas Badarinath | Pain Management | Pain and Spine Specialists of Maryland LLC | 2702 Back Acre Cir, Suite 290b, Mount Airy, MD 21771-7769 |
| Jeremiah J Altman | Physician Assistant | Pain and Spine Specialists of Maryland LLC | 2614 Memorial Blvd, Suite A, Connellsville, PA 15425-1405 |
| Greesh John | Anesthesiology | Pain and Spine Specialists of Maryland LLC | 7200 Bank Ct, Suite 120, Frederick, MD 21703-2886 |
| Isaac Donkoh | Nurse Practitioner | Pain and Spine Specialists of Maryland LLC | 2702 Back Acre Cir, Suite 290b, Mount Airy, MD 21771-7769 |
| Street Address |
2702 BACK ACRE CIR SUITE 290B |
| City | MOUNT AIRY |
| State | MD |
| Zip | 21771-7769 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Suhas Badarinath | Pain Management | Pain and Spine Specialists of Maryland LLC | 2702 Back Acre Cir, Suite 290b, Mount Airy, MD 21771-7769 |
| Isaac Donkoh | Nurse Practitioner | Pain and Spine Specialists of Maryland LLC | 2702 Back Acre Cir, Suite 290b, Mount Airy, MD 21771-7769 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacqueline D Wichern | Nurse Practitioner | Psychogeriatric Services LLC | 4101 Old National Pike, Pleasant View Nh, Mt Airy, MD 21771-4115 |
| Honorine E Wanie | Nurse Practitioner | Psychogeriatric Services LLC | 4101 Old National Pike, Pleasant View Nh, Mt Airy, MD 21771-4115 |
| Momoh Makieu | Nurse Practitioner | Psychogeriatric Services LLC | 4101 Old National Pike, Pleasant View Nh, Mt Airy, MD 21771-4115 |
| Andrew Speer | Psychiatry | Psychogeriatric Services LLC | 4101 Old National Pike, Pleasant View Nh, Mt Airy, MD 21771-4115 |
| Sara Gunther | Clinical Social Worker | Psychogeriatric Services LLC | 4101 Old National Pike, Pleasant View Nh, Mt Airy, MD 21771-4115 |
| Deborah Pearce | Nurse Practitioner | Psychogeriatric Services LLC | 4101 Old National Pike, Pleasant View Nh, Mt Airy, MD 21771-4115 |
| Kristen Williams | Clinical Social Worker | Psychogeriatric Services LLC | 4101 Old National Pike, Pleasant View Nh, Mt Airy, MD 21771-4115 |
| Oluwatosin Fanimo | Nurse Practitioner | Psychogeriatric Services LLC | 4101 Old National Pike, Pleasant View Nh, Mt Airy, MD 21771-4115 |
| Amy Jo Fox | Psychologist, Clinical | Psychogeriatric Services LLC | 4101 Old National Pike, Pleasant View Nh, Mt Airy, MD 21771-4115 |
| Ramona White | Nurse Practitioner | Psychogeriatric Services LLC | 4101 Old National Pike, Pleasant View Nh, Mt Airy, MD 21771-4115 |
| Find all physicians in zip 21771 | |||
| City | MOUNT AIRY |
| Zip Code | 21771 |
| Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| City + Specialty | MOUNT AIRY + INTERVENTIONAL PAIN MANAGEMENT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.