Olney Pain Center LLC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

D0059441 Issued in MD

Legal business name

OLNEY PAIN CENTER LLC

Practice address

3413 Olandwood CT
Ste 103
Olney, MD 20832-1489

Phone

(301) 774-1622

Fax

(301) 774-0488

NPI assigned

Jul 29, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Levin, MD

Title

Principal/Owner

Phone

(301) 570-1862

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376524800000",
    "number": "1467683128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3413 OLANDWOOD CT",
            "address_2": "STE 103",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321489",
            "telephone_number": "301-774-1622",
            "fax_number": "301-774-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3413 OLANDWOOD CT",
            "address_2": "STE 103",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321489",
            "telephone_number": "301-774-1622",
            "fax_number": "301-774-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLNEY PAIN CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-29",
        "last_updated": "2013-08-15",
        "status": "A",
        "authorized_official_last_name": "LEVIN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PRINCIPAL/OWNER",
        "authorized_official_telephone_number": "301-570-1862",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "MD",
            "license": "D0059441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Olney, MD
• Providers in Olney, MD by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; 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.