NPIMap

Organization Active NPI

Center for Interventional Pain Spine LLC

  • Durable Medical Equipment & Medical Supplies
  • Elkton, MD
National Provider Identifier
1447906706
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CENTER FOR INTERVENTIONAL PAIN SPINE LLC
Practice address
360 E Pulaski Hwy Ste 3B
Elkton, MD 21921-6596
Phone
(844) 365-7246
NPI assigned
Feb 25, 2022
Last updated
Mar 16, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTER FOR INTERVENTIONAL PAIN SPINE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Authorized official

Name
Stefanie Paulus
Title
Practice Manager
Phone
(844) 365-7246

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary
Pain Medicine Physician 208VP0000X NU

Addresses

Primary practice location

360 E Pulaski Hwy Ste 3B
Elkton, MD 21921-6596

Mailing address

223 Wilmington W Chester Pike Ste 214
Chadds Ford, PA 19317-9007
Phone (844) 365-7246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220407001777 MD DME Supplier - Physician - Interventional Pain Management 6507040078 Practice locations: Elkton, MD

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Center for Interventional Pain Spine20 organizations share this tax ID, including this one
Part of
Center for Interventional Pain Spine

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

Locations

118 Sandhill Dr
Ste 203
Middletown, DE 19709
Phone (302) 449-9660

1197 Airport Rd
Fl 2
Milford, DE 19963
Phone (844) 365-2202

4701 Ogletown Stanton Rd
Newark, DE 19713
Phone (302) 266-7800

360 E Pulaski Hwy
Ste 3B
Elkton, MD 21921

555 Second Ave
Ste D102
Collegeville, PA 19426

535 Pennsylvania Ave
Ste 101
Fort Washington, PA 19034
Phone (267) 297-9820

300 Welsh Rd
Bldg 2
Horsham, PA 19044
Phone (855) 930-8346

160 N Pointe Blvd
Ste 208
Lancaster, PA 17601

744 Lancaster Ave
Ste 110
Wayne, PA 19087
Phone (215) 836-5120

1235 Penn Ave
Ste 302
Wyomissing, PA 19610
Phone (610) 374-2927

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 40

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 40

NPI Registry JSON

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

{
    "created_epoch": "1645747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1447906706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 WILMINGTON W CHESTER PIKE STE 214",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193179007",
            "telephone_number": "844-365-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 E PULASKI HWY STE 3B",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216596",
            "telephone_number": "844-365-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR INTERVENTIONAL PAIN SPINE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTER FOR INTERVENTIONAL PAIN SPINE, LLC",
        "enumeration_date": "2022-02-25",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A",
        "authorized_official_last_name": "PAULUS",
        "authorized_official_first_name": "STEFANIE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "844-365-7246"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.