Olney Pain Center

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

140799 Issued in MD

Legal business name

OLNEY PAIN CENTER

Practice address

3413 Olandwood CT Ste 103
Olney, MD 20832-1489

Phone

(301) 774-1622

Fax

(301) 774-0488

NPI assigned

Apr 20, 2016

Organization subpart

No

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

Authorized official

Name

Jonathan Levin, M.D.NPI 1376645150

Title

President

Phone

(301) 774-1622

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Olney Pain Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Olney Pain Center

  • Durable Medical Equipment & Medical Supplies
  • Olney, MD
  • NPI 1235593021
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan Levin, M.D.

  • Specialist
  • Victorville, CA
  • NPI 1376645150
  NPD (past) Authorized official

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461110400000",
    "number": "1053765651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3413 OLANDWOOD CT STE 103",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321489",
            "telephone_number": "301-774-1622",
            "fax_number": "301-774-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3413 OLANDWOOD CT STE 103",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321489",
            "telephone_number": "301-774-1622",
            "fax_number": "301-774-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLNEY PAIN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-20",
        "last_updated": "2016-04-20",
        "status": "A",
        "authorized_official_last_name": "LEVIN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-774-1622",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MD",
            "license": "140799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001346300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olney Medical Group, LLC
• Olney Modern Dentistry, LLC
• Olney Open MRI LLC
• Olney Optical Med, LLC
• Olney Opticians,Inc.
• Olney Pain Center
• Olney Pain Center LLC
• Olney Pediatrics PA
• Olney Professional Pharmacy Inc
• Olney Psychiatric and Counseling Center LLC

• Clinical Medical Laboratory in Olney, MD
• Providers in Olney, MD by specialty
• Clinical Medical Laboratory in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.