Active NPI
Qol Pain Management LLC.
- Pain Clinic/Center
- Baltimore, MD
National Provider Identifier
1295983997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Clinic/Center
- License
- D0042216
- Legal business name
- QOL PAIN MANAGEMENT LLC.
- Practice address
- 3102 N Hilton St
Baltimore, MD 21216-1450 - Phone
- (410) 578-0730
- Fax
- (410) 578-0798
- NPI assigned
- Sep 5, 2008
- 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. Garry Sinclair Jennings, M.D.
- Title
- Anesthesiologist/Pain Management
- Phone
- (410) 578-0730
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Clinic/Center | 261QP3300X | D0042216 | MD | Primary |
Addresses
Primary practice location
3102 N Hilton St
Baltimore, MD 21216-1450
Mailing address
701 Brookwood Rd
Baltimore, MD 21229-1404
Phone (410) 947-8442
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 345911000 | Medicaid | MD |
National Provider Directory
National Provider Directory- Tax ID family
- Q O L Pain Management Center LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pain Medicine (Anesthesiology) Physician
- Baltimore, MD
- NPI 1841595451
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Baltimore, MD
- NPI 1245206390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220572800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1220572800000",
"number": "1295983997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 BROOKWOOD RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212291404",
"telephone_number": "410-947-8442",
"fax_number": "410-578-0798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3102 N HILTON ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212161450",
"telephone_number": "410-578-0730",
"fax_number": "410-578-0798"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QOL PAIN MANAGEMENT LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-05",
"last_updated": "2008-09-05",
"status": "A",
"authorized_official_last_name": "JENNINGS",
"authorized_official_first_name": "GARRY",
"authorized_official_middle_name": "SINCLAIR",
"authorized_official_title_or_position": "ANESTHESIOLOGIST/PAIN MANAGEMENT",
"authorized_official_telephone_number": "410-578-0730",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": "MD",
"license": "D0042216",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "345911000",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.