NPIMap

Advanced Pain Management Specialists, LLC

Organization Active NPI Durable Medical Equipment & Medical Supplies · Salisbury, MD

NPI 1497325369 · NPPES record last updated Jul 1, 2021

Key facts

NPI
1497325369
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
ADVANCED PAIN MANAGEMENT SPECIALISTS, LLC
Practice address
6503 Deer Pointe Dr Ste a
Salisbury, MD 21804-1674
Phone
(855) 527-7246
Fax
(866) 229-5063
NPI assigned
Jul 1, 2021
Organization subpart
No

Authorized official

Name
Ira Kornbluth, MD
Title
President
Phone
(855) 527-7246

Corporate family (same tax ID) 24

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 1

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MD

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20220105000922 MD DME Supplier - Physician - General Practice 3173513959 Practice locations: Salisbury, MD

National Provider Directory

Tax ID family
Advanced Pain MGMT Spec S (99 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208100000X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 2081P2900X
Pain Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208VP0000X
Interventional Pain Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208VP0014X
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

6503 Deer Pointe Dr Ste a
Salisbury, MD 21804-1674

Mailing address

201 Defense Hwy Ste 205
Annapolis, MD 21401-7096
Phone (855) 527-7246

Other practice location 1

6503 Deer Pointe Dr Ste C
Salisbury, MD 21804-1674
Phone (855) 527-7246

Other names

  • Clearway Pain Solutions Doing business as

Other providers in Salisbury, MD

All providers in Salisbury, MD · Durable Medical Equipment & Medical Supplies in Maryland

Sources for this page

Verify at the official NPI Registry.