Atlantic Interventional Pain Management

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

ATLANTIC INTERVENTIONAL PAIN MANAGEMENT

Practice address

8109 Ritchie Hwy
Pasadena, MD 21122-6917

Phone

(410) 382-3013

Fax

(410) 590-8839

NPI assigned

Nov 24, 2009

Last updated

Feb 5, 2010By 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

Haddijatou Secka Ogunsola, M.D.

Title

Sole Manager

Phone

(410) 382-3013

Specialties & licenses 1

Addresses

Other identifiers 5

Practitioners 1

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.

• Terren Merrill Himelfarb, M.D.

  • Urology Physician
  • Baltimore, MD
  • NPI 1093816811
  NPD (past)

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

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265328000000",
    "number": "1407184872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 ILLINOIS AVE",
            "city": "SEVERN",
            "state": "MD",
            "postal_code": "211442643",
            "telephone_number": "410-382-3013",
            "fax_number": "410-590-8839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8109 RITCHIE HWY",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211226917",
            "telephone_number": "410-382-3013",
            "fax_number": "410-590-8839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC INTERVENTIONAL PAIN MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-24",
        "last_updated": "2010-02-05",
        "status": "A",
        "authorized_official_last_name": "OGUNSOLA",
        "authorized_official_first_name": "HADDIJATOU",
        "authorized_official_middle_name": "SECKA",
        "authorized_official_title_or_position": "SOLE MANAGER",
        "authorized_official_telephone_number": "410-382-3013",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "PENDING",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "PENDING",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "PENDING",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "170685",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "PENDING",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ati Holding LLC (ATI Physical Therapy)
• Ati Holdings LLC (ATI Physical Therapy)
• Ati Holdings, LLC (ATI Physical Therapy Pasadena)
• Ati Holdings, LLC
• Jeffrey Earl Atkinson, MD
• Sarah Austin
• Nonnie Bailey Jones, LCPC
• Jessica Elizabeth Balk-Huffines, LCPC
• Matias Ballesteros, MD
• Lee Ivy Bandy, PA-C

• Pain Medicine (Anesthesiology) Physician in Pasadena, MD
• Providers in Pasadena, MD by specialty
• Pain Medicine (Anesthesiology) Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2010; 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.