Advanced Pain Management Specialists, LLC
Organization Active NPI Durable Medical Equipment & Medical Supplies · Bowie, MD
NPI 1326554288 · NPPES record last updated Apr 13, 2023
Key facts
- NPI
- 1326554288
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- ADVANCED PAIN MANAGEMENT SPECIALISTS, LLC
- Practice address
- 4175 N Hanson CT Ste 202
Bowie, MD 20716-3182 - Phone
- (410) 571-2946
- NPI assigned
- Dec 14, 2017
- Organization subpart
- No
Authorized official
- Name
- Damean Freas
- Title
- Ceo
- Phone
- (410) 571-2946
Corporate family (same tax ID) 24
Practitioners 1
-
Damean William Freas, D.O.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180508000432 | MD | DME Supplier - Physician - General Practice | 3173513959 | Practice locations: Bowie, MD |
National Provider Directory
- Tax ID family
- Advanced Pain MGMT Spec S
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician |
208100000X | |||
| Pain Medicine (Physical Medicine & Rehabilitation) Physician |
2081P2900X | |||
| Pain Medicine Physician |
208VP0000X | |||
| Interventional Pain Medicine Physician |
208VP0014X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
4175 N Hanson CT Ste 202
Bowie, MD 20716-3182
Mailing address
201 Defense Hwy Ste 205
Annapolis, MD 21401-7096
Phone (410) 571-2946
Other names
- Clearway Pain Solutions
Other providers in Bowie, MD
- Rahel Adugna
- Advance Health Care Services
- Advance Integrated Health, LLC
- Advanced Medical Care
- Advanced Pain Management Specialists, LLC
- Advita Health LLC
- Advita Health LLC
- Sumbo Sarah Adyemo
- Aesthetic Dermatology and Dermatologic Surgery Center
- Charlotte Ambang Afambere
All providers in Bowie, MD · Durable Medical Equipment & Medical Supplies in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.