NPIMap

Organization Active NPI

Matsunaga Pain Management LLC

  • Pain Medicine (Anesthesiology) Physician
  • Columbia, MD
National Provider Identifier
1306213186
Registry record updated Aug 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
D0037907 Issued in MD
Legal business name
MATSUNAGA PAIN MANAGEMENT LLC
Doing business as
Comprehensive Pain Center
Practice address
8894 Stanford Blvd.
Suite 104
Columbia, MD 21045-5161
Phone
(410) 997-7246
Fax
(410) 997-7226
NPI assigned
Aug 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2016

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

Authorized official

Name
Mark T. Matsunaga, MDNPI 1962409656
Title
President & Owner
Phone
(410) 997-7246

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)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X D0037907 MD Primary

Addresses

Primary practice location

8894 Stanford Blvd.
Suite 104
Columbia, MD 21045-5161

Mailing address

8894 Stanford Blvd
Suite 104
Columbia, MD 21045-4794
Phone (410) 997-7246

Other names 1

  • Comprehensive Pain Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Comprehensive Pain Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470700800000",
    "number": "1306213186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8894 STANFORD BLVD",
            "address_2": "SUITE 104",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210454794",
            "telephone_number": "410-997-7246",
            "fax_number": "410-997-7226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8894 STANFORD BLVD.",
            "address_2": "SUITE 104",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455161",
            "telephone_number": "410-997-7246",
            "fax_number": "410-997-7226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATSUNAGA PAIN MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-27",
        "last_updated": "2016-08-09",
        "status": "A",
        "authorized_official_last_name": "MATSUNAGA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT & OWNER",
        "authorized_official_telephone_number": "410-997-7246",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MD",
            "license": "D0037907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive Pain Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.