NPIMap

Organization Active NPI

Chesapeake Pain Management, LLC

  • Specialist
  • Baltimore, MD
National Provider Identifier
1437395167
Registry record updated Dec 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0057687 Issued in MD
Legal business name
CHESAPEAKE PAIN MANAGEMENT, LLC
Practice address
9000 Franklin Square Dr
Dept of Anesthesiology & Pain MGMT, 2 North
Baltimore, MD 21237-3901
Phone
(443) 777-7179
Fax
(443) 777-8242
NPI assigned
Dec 30, 2008
Last updated
Dec 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2008

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

Authorized official

Name
Dr. Clifford Goldman, MD
Title
Provider
Phone
(443) 777-7479

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D0057687 MD Primary

Addresses

Primary practice location

9000 Franklin Square Dr
Dept of Anesthesiology & Pain MGMT, 2 North
Baltimore, MD 21237-3901

Mailing address

9000 Franklin Square Dr
Dept of Anesthesiology & Pain MGMT, 2 North
Baltimore, MD 21237-3901
Phone (443) 777-7179

Other identifiers 1

IdentifierTypeStateIssuer
403122900MedicaidMD

National Provider Directory

National Provider Directory

Locations

9000 Franklin Square Dr
#2N
Baltimore, MD 21237
Phone (443) 777-7179

104 Plumtree Rd
Ste 104
Bel Air, MD 21015
Phone (410) 569-4224

Practitioners & affiliated clinicians

Practitioners 41

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.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1230595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230595200000",
    "number": "1437395167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 FRANKLIN SQUARE DR",
            "address_2": "DEPT OF ANESTHESIOLOGY & PAIN MGMT, 2 NORTH",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212373901",
            "telephone_number": "443-777-7179",
            "fax_number": "443-777-8242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 FRANKLIN SQUARE DR",
            "address_2": "DEPT OF ANESTHESIOLOGY & PAIN MGMT, 2 NORTH",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212373901",
            "telephone_number": "443-777-7179",
            "fax_number": "443-777-8242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESAPEAKE PAIN MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-30",
        "last_updated": "2008-12-30",
        "status": "A",
        "authorized_official_last_name": "GOLDMAN",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "443-777-7479",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0057687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "403122900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

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