Advanced Spine Endoscopy and Pain Institute
Organization Active NPI Orthopaedic Surgery of the Spine Physician · Frederick, MD
NPI 1326583006 · NPPES record last updated Sep 28, 2020
Key facts
- NPI
- 1326583006
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery of the Spine Physician 207XS0117X
- License
- D0055038 (MD)
- Legal business name
- ADVANCED SPINE ENDOSCOPY AND PAIN INSTITUTE
- Practice address
- 1003 W 7TH St Ste 503
Frederick, MD 21701-8512 - Phone
- (240) 367-9601
- Fax
- (301) 663-5747
- NPI assigned
- Jan 4, 2017
- Organization subpart
- No
Authorized official
- Name
- Crystal Gonzalez
- Title
- Manager
- Phone
- (240) 367-9601
National Provider Directory
Locations
5255 Loughboro Rd NW
Washington, DC 20016
Phone (202) 243-2280
915 Toll House Ave
Ste 207
Frederick, MD 21701
Phone (240) 367-9601
1003 W 7th St
Ste 503
Frederick, MD 21701
Phone (240) 367-9601
1003 W 7th St
Ste 505
Frederick, MD 21701
Phone (240) 367-9601
20528 Boland Farm Rd
Ste 202
Germantown, MD 20876
Phone (301) 232-9000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician |
207XS0117X | D0055038 | MD | Yes |
Addresses
Primary practice location
1003 W 7TH St Ste 503
Frederick, MD 21701-8512
Mailing address
1003 W 7TH St Ste 503
Frederick, MD 21701-8512
Phone (240) 367-9601
Other practice location 1
20528 Boland Farm Rd Ste 202
Germantown, MD 20876-4038
Phone (240) 367-9601
Other names
- Sky Spine Endoscopy Institute
Other providers in Frederick, MD
- Advanced Pain Management, LLC
- Advanced Pain Management, LLC
- Advanced Pain Management,LLC
- Advanced Pulmonary and Sleep Associates of Frederick, LLC
- Advanced Spine and Pain Center, LLC
- Advanced Spine Endoscopy and Pain Institute
- Aegis Practitioners LLC
- George Afari
- Komlan Jose Afezuke
- Affectionate Allies, Inc.
All providers in Frederick, MD · Orthopaedic Surgery of the Spine Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.