Advanced Pain Management Specialists, LLC
Organization Active NPI Durable Medical Equipment & Medical Supplies · Frederick, MD
NPI 1336889591 · NPPES record last updated Mar 29, 2022
Key facts
- NPI
- 1336889591
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- ADVANCED PAIN MANAGEMENT SPECIALISTS, LLC
- Practice address
- 7100 Guilford Dr Ste 150
Frederick, MD 21704-5257 - Phone
- (855) 527-7246
- Fax
- (866) 229-5063
- NPI assigned
- Mar 29, 2022
- Organization subpart
- No
Authorized official
- Name
- Ira Kornbluth, M.D.
- Title
- President
- Phone
- (855) 527-7246
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 |
|---|---|---|---|---|
| O20230326000139 | MD | DME Supplier - Physician - General Practice |
3173513959 | Practice locations: Frederick, 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
7100 Guilford Dr Ste 150
Frederick, MD 21704-5257
Mailing address
201 Defense Hwy Ste 205
Annapolis, MD 21401-7096
Phone (855) 527-7246
Other names
- Clearway Pain Solutions
Other providers in Frederick, MD
- Advanced Behavioral Health, Inc
- Advanced Functional Health and Wellness, LLC.
- Advanced Neurology and Sleep Center of Frederick
- Advanced Pain Management Services, LLC
- Advanced Pain Management Specialists LLC
- Advanced Pain Management Specialists, LLC
- Advanced Pain Management, LLC
- Advanced Pain Management, LLC
- Advanced Pain Management,LLC
- Advanced Pulmonary and Sleep Associates of Frederick, LLC
All providers in Frederick, 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 Mar 29, 2022. 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.