Organization Active NPI

Pain and Spine Specialists of Maryland, LLC

Doing business as Pain and Spine Specialists of Virginia, DBA

  • Prosthetic/Orthotic Supplier
  • Harrisonburg, VA
National Provider Identifier
1053943613
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
PAIN AND SPINE SPECIALISTS OF MARYLAND, LLC
Doing business as
Pain and Spine Specialists of Virginia, DBA
Practice address
420 Neff Ave Ste 230
Harrisonburg, VA 22801-5435
Phone
(301) 703-8767
Fax
(301) 703-8886
NPI assigned
Feb 11, 2020
Last updated
Nov 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Authorized official

Name
Ritu Bhatnagar, DO
Title
Credentialing Manager
Phone
(224) 365-8400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

420 Neff Ave Ste 230
Harrisonburg, VA 22801-5435

Mailing address

2034 Pro Pointe LN
Harrisonburg, VA 22801-8021
Phone (301) 703-8767

Other practice location 1

2034 Pro Pointe Ln
Harrisonburg, VA 22801-8021
Phone (301) 703-8767

Other practice location 2

422 Garrisonville Rd Ste 101
Stafford, VA 22554-1573
Phone (301) 703-8767

Other names 1

  • Pain and Spine Specialists of Virginia, DBA Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2172016Pain and Spine Specialists of Virginia420 Neff Ave Suite 230, Harrisonburg, VA 22801Certificate of waiverSep 11, 2027

National Provider Directory

National Provider Directory

Locations

420 Neff Ave
Ste 230
Harrisonburg, VA 22801
Phone (301) 363-1063

NPI Registry JSON

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668988800000",
    "number": "1053943613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2034 PRO POINTE LN",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228018021",
            "telephone_number": "301-703-8767",
            "fax_number": "301-703-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 NEFF AVE STE 230",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228015435",
            "telephone_number": "301-703-8767",
            "fax_number": "301-703-8886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2034 Pro Pointe Ln",
            "address_purpose": "LOCATION",
            "city": "Harrisonburg",
            "state": "VA",
            "postal_code": "228018021",
            "country_code": "US",
            "telephone_number": "301-703-8767",
            "fax_number": "301-703-8886",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "422 Garrisonville Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "VA",
            "postal_code": "225541573",
            "country_code": "US",
            "telephone_number": "301-703-8767",
            "fax_number": "301-703-8886",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PAIN AND SPINE SPECIALISTS OF MARYLAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-11",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A",
        "authorized_official_last_name": "BHATNAGAR",
        "authorized_official_first_name": "RITU",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "224-365-8400",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pain and Spine Specialists of Virginia, DBA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pain and Spine Specialists of Virginia, DBA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harrisonburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.