NPIMap

Organization Active NPI

Advanced Pain Management, LLC

Doing business as Orthopedic Wellness Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Waldorf, MD
National Provider Identifier
1356831440
Registry record updated Jan 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
ADVANCED PAIN MANAGEMENT, LLC
Doing business as
Orthopedic Wellness Surgery Center
Practice address
11637 Terrace Dr Ste 101
Waldorf, MD 20602-3707
Phone
(240) 629-3955
Fax
(240) 629-3956
NPI assigned
May 14, 2018
Last updated
Jan 20, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
ADVANCED PAIN MANAGEMENT, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 20, 2020

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

Authorized official

Name
Khalid Kahloon
Title
Managing Member
Phone
(240) 629-3990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

11637 Terrace Dr Ste 101
Waldorf, MD 20602-3707

Mailing address

1050 Key Pkwy Ste 202
Frederick, MD 21702-4551
Phone (240) 629-3982

Other names 1

  • Orthopedic Wellness Surgery Center Doing business as

National Provider Directory

National Provider Directory
Part of
Advanced Pain Management LL

NPI Registry JSON

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579478400000",
    "number": "1356831440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 KEY PKWY STE 202",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024551",
            "telephone_number": "240-629-3982",
            "fax_number": "240-629-3956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11637 TERRACE DR STE 101",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023707",
            "telephone_number": "240-629-3955",
            "fax_number": "240-629-3956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PAIN MANAGEMENT, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANCED PAIN MANAGEMENT, LLC",
        "enumeration_date": "2018-05-14",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A",
        "authorized_official_last_name": "KAHLOON",
        "authorized_official_first_name": "KHALID",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "240-629-3990"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthopedic Wellness Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Orthopedic Wellness Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2020; 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.