Advanced Spine and Pain Center, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ADVANCED SPINE AND PAIN CENTER, LLC

Practice address

92 Thomas Johnson Dr Ste 205
Frederick, MD 21702-4403

Phone

(240) 815-5449

NPI assigned

May 9, 2022

Last updated

May 11, 2022By 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

Mary Martelloni, MGRNPI 1023503794

Title

MGR

Phone

(410) 698-2665

Specialties & licenses 1

Addresses

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.

• Mary Martelloni

  • Licensed Practical Nurse
  • Cape Coral, FL
  • NPI 1023503794
  Authorized official Same address or phone

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1437895869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 E CHURCHVILLE RD",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143825",
            "telephone_number": "410-698-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 THOMAS JOHNSON DR STE 205",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024403",
            "telephone_number": "240-815-5449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SPINE AND PAIN CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-09",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "MARTELLONI",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "410-698-2665",
        "authorized_official_credential": "MGR"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Pain Management Specialists, LLC (Clearway Pain Solutions)
• Advanced Pain Management, LLC
• Advanced Pain Management, LLC (Orthopedic and Wellness)
• Advanced Pain Management,LLC (Orthopedic Wellness Surgery Center)
• Advanced Pulmonary and Sleep Associates of Frederick, LLC
• Advanced Spine Endoscopy and Pain Institute (Sky Spine Endoscopy Institute)
• Advanced Spine Endoscopy and Pain Institute
• Aegis Practitioners LLC (Frederick Child and Adolescent Mental Health)
• George Afari, PHARMD, BCNP
• Komlan Jose Afezuke

• Clinical Medical Laboratory in Frederick, MD
• Providers in Frederick, MD by specialty
• Clinical Medical Laboratory in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.