Organization Active NPI

Advanced Pain Management Specialists, LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Lanham, MD
National Provider Identifier
1386824936
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
ADVANCED PAIN MANAGEMENT SPECIALISTS, LLC
Practice address
8100 Good Luck Rd
Suite 402
Lanham, MD 20706-3500
Phone
(240) 965-3617
Fax
(410) 571-2947
NPI assigned
Nov 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Authorized official

Name
Mr. Matt Baker
Title
Practice Manager
Phone
(410) 571-2946

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081P2900X Primary

Addresses

Primary practice location

8100 Good Luck Rd
Suite 402
Lanham, MD 20706-3500

Mailing address

116 Defense Hwy
Suite 403
Annapolis, MD 21401-7027
Phone (410) 571-2946

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1386824936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 DEFENSE HWY",
            "address_2": "SUITE 403",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017027",
            "telephone_number": "410-571-2946",
            "fax_number": "410-571-2947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 GOOD LUCK RD",
            "address_2": "SUITE 402",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063500",
            "telephone_number": "240-965-3617",
            "fax_number": "410-571-2947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PAIN MANAGEMENT SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "410-571-2946",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.