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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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, 2022
- 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
- Ritu Bhatnagar, DO
- Title
- Credentialing Manager
- Phone
- (224) 365-8400
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2172016 | Pain and Spine Specialists of Virginia | Certificate of waiver | Sep 11, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.