Flagship Pain Management and Rehabilitation LLC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

FLAGSHIP PAIN MANAGEMENT AND REHABILITATION LLC

Practice address

157 Baltimore St
Suite 301
Cumberland, MD 21502-2472

Phone

(301) 722-3215

Fax

(301) 722-1450

NPI assigned

Nov 29, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. William E Freas Jr., SLP

Title

Ceo

Phone

(301) 722-3215

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1385683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385683200000",
    "number": "1033540133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 BALTIMORE ST",
            "address_2": "SUITE 200",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022472",
            "telephone_number": "301-722-3215",
            "fax_number": "301-722-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 BALTIMORE ST",
            "address_2": "SUITE 301",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022472",
            "telephone_number": "301-722-3215",
            "fax_number": "301-722-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLAGSHIP PAIN MANAGEMENT AND REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-29",
        "last_updated": "2013-11-29",
        "status": "A",
        "authorized_official_last_name": "FREAS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-722-3215",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "000000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Ferris
• Nicole Fetters
• Augusto F Figueroa, Jr., M.D.
• Christopher Filosa
• Flagship North
• Elizabeth Dawn Flanagan, CRNP
• Caroline Flint, MD
• Diane A Footen, LGPC
• Tessa R Forbeck, PHARMD
• Lisa Foris, MD

• Pain Clinic/Center in Cumberland, MD
• Providers in Cumberland, MD by specialty
• Pain Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.