Organization Active NPI

University of Maryland St. Joseph Pain Specialists, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Timonium, MD
National Provider Identifier
1336964063
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
UNIVERSITY OF MARYLAND ST. JOSEPH PAIN SPECIALISTS, LLC
Practice address
1 Texas Station CT Ste 300
Timonium, MD 21093-8289
Phone
(410) 683-2120
NPI assigned
Nov 18, 2024
Last updated
Nov 18, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
UNIVERSITY OF MARYLAND ST. JOSEPH PAIN SPECIALISTS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Authorized official

Name
Thomas B. Smyth
Title
President and Ceo
Phone
(410) 337-4489

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X NU Primary

Addresses

Primary practice location

1 Texas Station CT Ste 300
Timonium, MD 21093-8289

Mailing address

900 Elkridge Landing Rd FL 2
Linthicum, MD 21090-2924

National Provider Directory

National Provider Directory
Tax ID family
University of Maryland St Joseph Pain Specialists LLC8 organizations share this tax ID, including this one
Part of
University of Maryland St Joseph Pain Specialists LLC

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1336964063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 ELKRIDGE LANDING RD FL 2",
            "city": "LINTHICUM",
            "state": "MD",
            "postal_code": "210902924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TEXAS STATION CT STE 300",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210938289",
            "telephone_number": "410-683-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF MARYLAND ST. JOSEPH PAIN SPECIALISTS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF MARYLAND ST. JOSEPH PAIN SPECIALISTS, LLC",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "SMYTH",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "410-337-4489"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Timonium, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.