Smart Pain Management, LLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

SMART PAIN MANAGEMENT, LLC

Practice address

1576 Merritt Blvd
Suite 18
Dundalk, MD 21222-2132

Phone

(443) 693-7246

NPI assigned

Jul 29, 2015

Organization subpart

No

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

Authorized official

Name

Ira Kornbluth, M.D.

Title

Ceo

Phone

(443) 693-7246

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Spine Medicine and Rehabilitation

  • Interventional Pain Medicine Physician
  • Owings Mills, MD
  • NPI 1326228081

  Member Of

  NPD member

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1235514472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PARK CENTER CT",
            "address_2": "SUITE 200",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174295",
            "telephone_number": "443-693-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1576 MERRITT BLVD",
            "address_2": "SUITE 18",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212222132",
            "telephone_number": "443-693-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART PAIN MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-29",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "KORNBLUTH",
        "authorized_official_first_name": "IRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-693-7246",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Kathleen Sheppard, LPTA
• Shirleys Caring Heart Corp
• Sabrina Shockley
• Tori Siler, PA-C
• Sinai Hospital of Baltimore, Inc.
• Smiles R US at Dundalk P C
• Larry Dean Smyth, PH.D.
• Grace Spencer
• Christine Louise St. Ours, MS, RN, LDN, CNS
• Cathy L Stanfield, NP

• Pain Medicine Physician in Dundalk, MD
• Providers in Dundalk, MD by specialty
• Pain Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.