Baltimore Pain Management Center PA

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

BALTIMORE PAIN MANAGEMENT CENTER PA

Practice address

9106 Philadelphia Rd Ste 108
Baltimore, MD 21237-4335

Phone

(410) 682-5040

Fax

(410) 682-5044

NPI assigned

Jun 4, 2006

Last updated

Oct 21, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael A. Gardyn, D.O.NPI 1205981867

Title

President

Phone

(410) 499-0082

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MD2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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.

• Michael A. Gardyn, DO

  • Interventional Pain Medicine Physician
  • Baltimore, MD
  • NPI 1205981867
  Medicare reassignment Care Compare group NPD Authorized official
• Honey Brojan, CRNP

  • Family Nurse Practitioner
  • Rosedale, MD
  • NPI 1790486140
  Medicare reassignment Care Compare group NPD
• Tzipora Goetz, FNP

  • Family Nurse Practitioner
  • Rosedale, MD
  • NPI 1376014779
  Medicare reassignment Care Compare group NPD
• Filissa M Caserta, C.R.N.P.

  • Nurse Practitioner
  • Rosedale, MD
  • NPI 1831148907
  NPD

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1356389845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9106 PHILADELPHIA RD STE 108",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212374335",
            "telephone_number": "410-682-5040",
            "fax_number": "410-682-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9106 PHILADELPHIA RD STE 108",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212374335",
            "telephone_number": "410-682-5040",
            "fax_number": "410-682-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALTIMORE PAIN MANAGEMENT CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "GARDYN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-499-0082",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baltimore Oncology Hematology Associates LLC
• Baltimore Ophthalmology, LLC
• Baltimore Optical Inc (Charm City Optical)
• Baltimore Optical Inc
• Baltimore Orioles Limited Partnership
• Baltimore Podiatry Group, Dr. Benjamin Kleinman P.a. (Baltimore Podiatry Group)
• Baltimore Podiatry Group, Dr. Benjamin Kleinman, P.a. (Baltimore Podiatry Group)
• Baltimore Podiatry Group, Dr. Benjamin Kleinman, P.a. (Baltimore Podiatry Group)
• Baltimore Podiatry Group, Dr. Benjamin Kleinman, P.a. (Baltimore Podiatry Group)
• Baltimore Pulmonary & Critical Care, PA

• Interventional Pain Medicine Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Interventional Pain Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.