Active NPI
Interventional Pain and Spine Care, LLC
- Pain Medicine (Anesthesiology) Physician
- Ijamsville, MD
National Provider Identifier
1053934174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- INTERVENTIONAL PAIN AND SPINE CARE, LLC
- Practice address
- 3280 Urbana Pike Ste 207
Ijamsville, MD 21754-9406 - Phone
- (508) 344-7263
- NPI assigned
- May 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Juliet Gyebi-Foster, MD
- Title
- Owner
- Phone
- (301) 874-3431
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | |||
| Addiction Medicine (Anesthesiology) Physician | 207LA0401X | |||
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | Primary | ||
| Pain Medicine Physician | 208VP0000X | |||
| Interventional Pain Medicine Physician | 208VP0014X |
Addresses
Primary practice location
3280 Urbana Pike Ste 207
Ijamsville, MD 21754-9406
Mailing address
3280 Urbana Pike Ste 207
Ijamsville, MD 21754-9406
Phone (301) 874-3431
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Ijamsville, MD
- NPI 1801113022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759449600000",
"number": "1053934174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3280 URBANA PIKE STE 207",
"city": "IJAMSVILLE",
"state": "MD",
"postal_code": "217549406",
"telephone_number": "301-874-3431",
"fax_number": "301-874-3416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3280 URBANA PIKE STE 207",
"city": "IJAMSVILLE",
"state": "MD",
"postal_code": "217549406",
"telephone_number": "508-344-7263"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTERVENTIONAL PAIN AND SPINE CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-22",
"last_updated": "2025-10-03",
"certification_date": "2025-10-03",
"status": "A",
"authorized_official_last_name": "GYEBI-FOSTER",
"authorized_official_first_name": "JULIET",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "301-874-3431",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207LA0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Addiction Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ijamsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.