NPIMap

Organization Active NPI

Spine Medicine and Rehabilitation

  • Interventional Pain Medicine Physician
  • Owings Mills, MD
National Provider Identifier
1326228081
Registry record updated May 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
D0061293 Issued in MD
Legal business name
SPINE MEDICINE AND REHABILITATION
Practice address
7920 McDonogh Rd
201
Owings Mills, MD 21117-5273
Phone
(443) 321-2590
NPI assigned
Nov 11, 2007
Last updated
May 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2013

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

Authorized official

Name
Dr. Ira D Kornbluth, M.D.NPI 1609872266
Title
Owner
Phone
(202) 607-9788

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X D0061293 MD Primary

Addresses

Primary practice location

7920 McDonogh Rd
201
Owings Mills, MD 21117-5273

Mailing address

826 Washington Rd
Suite 210
Westminster, MD 21157-5750
Phone (202) 607-9788

National Provider Directory

National Provider Directory

Member organizations 8

Organizations listed as members of this organization in the National Provider Directory.

Locations

7920 McDonogh Rd
Ste 201
Owings Mills, MD 21117
Phone (443) 321-2590

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1194739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368662400000",
    "number": "1326228081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 WASHINGTON RD",
            "address_2": "SUITE 210",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575750",
            "telephone_number": "202-607-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7920 MCDONOGH RD",
            "address_2": "201",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175273",
            "telephone_number": "443-321-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE MEDICINE AND REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-11",
        "last_updated": "2013-05-16",
        "status": "A",
        "authorized_official_last_name": "KORNBLUTH",
        "authorized_official_first_name": "IRA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-607-9788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MD",
            "license": "D0061293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; 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.