Personalized Spine and Pain Care

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

MD038938 Issued in DC

Legal business name

PERSONALIZED SPINE AND PAIN CARE

Practice address

6475 New Hampshire Ave Ste C200A
Hyattsville, MD 20783-3269

Phone

(844) 940-7246

Fax

(301) 270-2102

NPI assigned

Jul 14, 2015

Organization subpart

No

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

Authorized official

Name

Ayasha Williams-Sharron, MDNPI 1043430309

Title

President

Phone

(844) 940-7246

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ayasha Williams-Sharron, MD

  • Interventional Pain Medicine Physician
  • Hyattsville, MD
  • NPI 1043430309
  NPD Authorized official

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1457735029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4807 ESSEX AVE",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208155547",
            "telephone_number": "844-940-7246",
            "fax_number": "301-270-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6475 NEW HAMPSHIRE AVE STE C200A",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207833269",
            "telephone_number": "844-940-7246",
            "fax_number": "301-270-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONALIZED SPINE AND PAIN CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-14",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS-SHARRON",
        "authorized_official_first_name": "AYASHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "844-940-7246",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "DC",
            "license": "MD038938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Elizabeth Penn, M.ED.
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• Monique Perry, SOCIAL WORKER
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• Pain Clinic/Center in Hyattsville, MD
• Providers in Hyattsville, MD by specialty
• Pain Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.