Active NPI
American Spine Center LLC
- Interventional Pain Medicine Physician
- Frederick, MD
National Provider Identifier
1376876763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- AMERICAN SPINE CENTER LLC
- Practice address
- 141 Thomas Johnson Dr
Ste 190
Frederick, MD 21702-4502 - Phone
- (301) 682-7246
- Fax
- (240) 206-3205
- NPI assigned
- Sep 16, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sandeep Sherlekar, M.D.
- Title
- Partner
- Phone
- (301) 461-6688
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | |||
| Neurological Surgery Physician | 207T00000X | |||
| Physical Medicine & Rehabilitation Physician | 208100000X | |||
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | |||
| Neurology Physician | 2084N0400X | |||
| Interventional Pain Medicine Physician | 208VP0014X | Primary |
Addresses
Primary practice location
141 Thomas Johnson Dr
Ste 190
Frederick, MD 21702-4502
Mailing address
141 Thomas Johnson Dr
Ste 190
Frederick, MD 21702-4502
Phone (301) 682-7246
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253059200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1253059200000",
"number": "1376876763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 THOMAS JOHNSON DR",
"address_2": "STE 190",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024502",
"telephone_number": "301-682-7246",
"fax_number": "240-206-3205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 THOMAS JOHNSON DR",
"address_2": "STE 190",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024502",
"telephone_number": "301-682-7246",
"fax_number": "240-206-3205"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMERICAN SPINE CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-16",
"last_updated": "2009-09-16",
"status": "A",
"authorized_official_last_name": "SHERLEKAR",
"authorized_official_first_name": "SANDEEP",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "301-461-6688",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.